Obstetric and Gynecologic Hospitalists and Laborists, An Issue of Obstetrics and Gynecology Clinics

Name: Obstetric and Gynecologic Hospitalists and Laborists, An Issue of Obstetrics and Gynecology Clinics
Brand: Elsevier
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Brigid McCue(Autor*in)

Elsevier (Verlag)

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Erschienen am 7. September 2015

100 Seiten

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Front Cover
Obstetric and GynecologicHospitalists and Laborists
Copyright
Contributors
CONSULTING EDITOR
EDITORS
AUTHORS
Contents
Foreword: The Ob/Gyn Hospitalist: An Expanding Area of Practice Deserving Our Attention
Preface: Obstetric and Gynecologic Hospitalists and Laborists
Laborist to Obstetrician/Gynecologist-Hospitalist: An Evolution or a Revolution?
A History of the Hospitalist Movement
Hospitalists and Their Impact on Quality, Patient Safety, and Satisfaction
Roles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice
What is an Obstetrics/Gynecology Hospitalist?
The Role of Obstetrics/Gynecology Hospitalists in Reducing Maternal Mortality
Impact of Obstetrician/Gynecologist Hospitalists on Quality of Obstetric Care (Cesarean Delivery Rates, Trial of Labor Afte
Potential Impact of Obstetrics and Gynecology Hospitalists on Safety of Obstetric Care
Sleep Deprivation
Obstetrics Hospitalists: Risk Management Implications
Organizing an Effective Obstetric/Gynecologic Hospitalist Program
Business and Organizational Models of Obstetric and Gynecologic Hospitalist Groups
Obstetrics and Gynecology Hospitalist Fellowships
OBSTETRICS AND GYNECOLOGY CLINICS
FORTHCOMING ISSUES
December 2015
March 2016
June 2016
RECENT ISSUES
June 2015
March 2015
December 2014
The Ob/Gyn Hospitalist: An Expanding Area of Practice Deserving Our Attention
Obstetric and Gynecologic Hospitalists and Laborists
Laborist to Obstetrician/Gynecologist-Hospitalist
Key points
REFERENCES
A History of the Hospitalist Movement
Key points
INTRODUCTION
EARLY HISTORY OF HOSPITALISTS
MODERN HISTORY OF HOSPITALISTS
EARLY CHALLENGES AND SOLUTIONS
Growth of Hospital Medicine/Drivers of Hospital Medicine
CURRENT STATE OF HOSPITAL MEDICINE
What Do Hospitalists Do Today?
OUTCOMES
Research Providing Evidence of Hospital Medicine Effectiveness
COMMON ISSUES FACING HOSPITAL MEDICINE TODAY AND POTENTIAL SOLUTIONS
FUTURE OF HOSPITAL MEDICINE
HOSPITAL-FOCUSED SPECIALTIES
OBSTETRICS AND GYNECOLOGY HOSPITALIST MODEL
SUMMARY
REFERENCES
Hospitalists and Their Impact on Quality, Patient Safety, and Satisfaction
Key points
BACKGROUND
HOSPITALISTS AND PATIENT SAFETY
Device-Associated Morbidity
Medication Safety
Venous Thromboembolism Prophylaxis
HOSPITALISTS AND QUALITY
Care Transitions
Comanagement of Surgical Patients
End-of-Life/Palliative Care
HOSPITALISTS AND PATIENT-CENTERED CARE
EMERGENCE OF SUBSPECIALTY HOSPITALISTS
SPECULATION OF IMPACT ON OBSTETRIC-GYNECOLOGIST HOSPITALIST
SUMMARY
REFERENCES
Roles of Obstetrician-Gynecologist Hospitalists with Changes in the Obstetrician-Gynecologist Workforce and Practice
Key points
INTRODUCTION
CHANGES IN THE OBSTETRICIAN-GYNECOLOGIST WORKFORCE AND PRACTICES
More Female Obstetricians-Gynecologists
Emphasis on Work-Life Balance
More Subspecialization
Larger Practices and Employed Physicians
Universal Electronic Health Records and Standardizing Health Care
Emphasis on Quality and Performance Improvement
Transformational Forces Leading to Change
ROLES OF OBSTETRICIAN-GYNECOLOGIST HOSPITALISTS
Work-Life Balance and Physician Support
Standardization of Care and Quality Improvement
Financial Considerations
REFERENCES
What is an Obstetrics/Gynecology Hospitalist?
Key points
INTRODUCTION
What Is an Obstetrics/Gynecology Hospitalist?
Do Obstetrics/Gynecology Hospitalists Improve Care?
How Do Obstetrics/Gynecology Hospitalists Improve Care for an Individual Patient?
How Do Obstetrics/Gynecology Hospitalists Improve Care on a Departmental Level?
What Skills and Educational Background Are Needed to Be a Good Obstetrics/Gynecology Hospitalist?
Can Any Obstetrics/Gynecology Physician Be an Obstetrics/Gynecology Hospitalist?
Why Should You Consider Becoming an Obstetrics/Gynecology Hospitalist?
REFERENCES
The Role of Obstetrics/Gynecology Hospitalists in Reducing Maternal Mortality
Key points
INTRODUCTION
POSTPARTUM HEMORRHAGE
Background
Preparation
Recognition and Initial Measures
Diagnosis and Definitive Management
Summary
COMPLICATIONS OF PREECLAMPSIA
Background
Acute Hypertensive Crisis
Background
Recognition and management
Pulmonary Edema
Background
Recognition and management
Summary
SUMMARY
REFERENCES
Impact of Obstetrician/Gynecologist Hospitalists on Quality of Obstetric Care (Cesarean Delivery Rates, Trial of Labor Afte ...
Key points
INTRODUCTION
CESAREAN DELIVERY
TRIAL OF LABOR AFTER CESAREAN DELIVERY AND VAGINAL BIRTH AFTER CESAREAN
The Obstetrician-Gynecologist Hospitalist and Cesarean Delivery Rates
Laborist Programs and Effect on Trial of Labor After Cesarean Delivery
Neonatal Outcomes and Obstetric Hospitalist Coverage
SUMMARY
REFERENCES
Potential Impact of Obstetrics and Gynecology Hospitalists on Safety of Obstetric Care
Key points
INTRODUCTION
THE PROBLEM OF MATERNAL MORTALITY
INFANT MORTALITY
TIMELINESS OF DELIVERY IN EMERGENT SITUATIONS
PREVENTABLE PERINATAL OUTCOMES WITH CLOSE MONITORING AND INTERVENTION
Hemorrhage
Use of Oxytocin
THE ROLE OF THE OBSTETRICS AND GYNECOLOGY HOSPITALIST IN PATIENT SAFETY
SUMMARY/DISCUSSION
REFERENCES
Sleep Deprivation
Key points
INTRODUCTION
WHY DO HUMANS SLEEP?
SLEEP DEPRIVATION
CAN SLEEP DEPRIVATION BE CURED?
SLEEP DEPRIVATION IN THE AGE OF ELECTRONICS
SLEEP DEPRIVATION IN PREGNANCY
EVOLUTION OF WORK RESTRICTIONS FOR RESIDENCY PROGRAMS
ATTENDING PHYSICIAN FATIGUE
COMBATING SLEEP DEPRIVATION WITH A HOSPITALIST PROGRAM
SUMMARY
REFERENCES
Obstetrics Hospitalists
Key points
RISK MANAGEMENT, CLAIMS, GETTING TO HAVARTI
Common Obstetric Practices That Can Weaken Defenses
What makes the holes in the Swiss cheese larger?
The Hospitalist Movement
How Does an Obstetrics Hospitalist Program Function as a Safety Net for a Perinatal Unit?
Is There Objective Evidence That Obstetrics Hospitalists Improve Outcomes and Reduce the Chance for Adverse Outcomes?
THE OBSTETRICS HOSPITALIST MOVEMENT AND MODELS OF CARE
OVERCOMING CHALLENGES/THE ROLE OF THE RISK MANAGER
Cost
Patient Satisfaction
Provider Satisfaction
Establishment of Policies and Procedures Surrounding the Obstetrics Hospitalist Model
The Defined Duties of a Hospitalist From a Sample Contract
EARLY RESOLUTION, APOLOGY, AND DISCLOSURE
SUMMARY
REFERENCES
Organizing an Effective Obstetric/Gynecologic Hospitalist Program
Key points
INTRODUCTION
CLINICAL EXCELLENCE
TEAM LEADER PHYSICIAN OR MEDICAL DIRECTOR
WELL ORGANIZED START-UP PROCESS
PATIENT EDUCATION/PREPAREDNESS
CUSTOMIZATION/PRIORITIZATION OF PROGRAM DESIGN BASED ON THE FACILITY'S NEEDS
OBSTETRIC EMERGENCY DEPARTMENT
CLINICAL SUPPORT/EDUCATION
MATERNAL FETAL MEDICINE SUPPORT
STAFF OBSTETRIC SUPPORT
OBSTETRIC SERVICE AGREEMENTS
NATIONAL QUALITY FORUM AND QUALITY METRICS MONITORING
STRATIFICATION OF SUPPORT INITIATIVES
COST CONSIDERATIONS
SUMMARY
REFERENCES
Business and Organizational Models of Obstetric and Gynecologic Hospitalist Groups
Key points
BUSINESS AND ORGANIZATIONAL MODELS OF OBSTETRIC AND GYNECOLOGIC HOSPITALIST GROUPS
SUMMARY
REFERENCES
Obstetrics and Gynecology Hospitalist Fellowships
Key points
INTRODUCTION
STEPS UNDERTAKEN TO CREATE THE FIRST OBSTETRICIAN/GYNECOLOGIST HOSPITALIST FELLOWSHIP
LEARNING OBJECTIVES OF THE OBSTETRICIAN/GYNECOLOGIST HOSPITALIST FELLOWSHIP
General Learning Objectives
Specific Learning Objectives
Clinical duties
Educational duties
FELLOWSHIP PROGRAM EVALUATION
OUR FIRST HOSPITALIST FELLOW RESEARCH PROJECT
SUMMARY/DISCUSSION
REFERENCES
Index

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