The Doctor’s Advocate | Second Quarter 2017
Innovations in Patient Safety

Data-Driven Insights: Fear to Act in Obstetrics

Our new video series highlights how doctors nationwide are using the data-driven insights from our closed claims studies to improve patient safety in their practices or hospitals. Our vast database of claims gives us an unparalleled understanding of the most common patient allegations and factors contributing to injury, and our specialty-specific studies help shine a light on risks others don’t see.

This quarter, we feature Marcus Tower, MD, an obstetrician at the Cleveland Clinic’s Hillcrest Hospital in Cleveland, Ohio, who used insights from our Obstetrics Closed Claims Study to focus on the top risks. Dr. Tower addressed the common pitfall of fear to act—specifically, the fear to act on abnormal fetal heart rate (FHR) tracings. He implemented a series of physician-nurse classes, in which teams had the opportunity to review abnormal FHR tracings to identify “the good, the bad, and the ugly.” The doctors and nurses then implemented a standardized response process that empowers each of them as a patient advocate to speak up when concerns arise so that issues can be addressed in a timely manner.

Watch this powerful video to hear more about how Dr. Tower’s clinic is handling other top obstetrics risks: postpartum and massive hemorrhage and shoulder dystocia.



The Doctor’s Advocate is published by The Doctors Company to advise and inform its members about loss prevention and insurance issues.

The guidelines suggested in this newsletter are not rules, do not constitute legal advice, and do not ensure a successful outcome. They attempt to define principles of practice for providing appropriate care. The principles are not inclusive of all proper methods of care nor exclusive of other methods reasonably directed at obtaining the same results.

The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.

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Second Quarter 2017

From the Chairman
2017 Member Dividend Announced

Director's Forum
Prescribing Opioids Safely

An Ounce of Prevention
The Doctors Company Introduces a New CME Series

Government Relations Report
Federal Medical Liability Reform: A Historical Perspective

Foundation News
The Doctors Company Foundation Changes Leadership

Innovations in Patient Safety
Data-Driven Insights: Fear to Act in Obstetrics

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