Obstetrics and Gynecology
The Foundation provides specialized review services when an evaluation is needed for a hospital’s overall quality of obstetrical care and peer review. This includes a review of the structure and performance of the department’s quality review system, the actual quality of clinical care, and any litigation history.
Specific to obstetrics, we provide case review of practitioner practice patterns, standard of care issues, fetal monitoring interpretation, management of obstetrical emergencies and chain of command issues, specifically physician, nurse and team communications. Evaluation of ongoing policy and procedure and implementation are also offered.
In the area of gynecology, we review indications for surgery, with review of outcomes, preoperative and postoperative care, complication profiles and use of consultants and appropriate surgical approaches. Indicators of variances and morbidity and mortality data by both department and individual practitioners are examined.
We also do focused reviews of individual practitioners as far as standard of care and quality reviews. Recommendations are then made, for example, on improving communication between departments, monitoring quality, clinical standards, performance improvement, staff coverage policies and more effective screening within the department and throughout the hospital.