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

1st Edition, Volume 51-3 - August 6, 2024
Editors: Amy Vanblaricom, Brigid McCue
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 2 4 6 4 2 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 2 4 6 4 3 - 2

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Amy VanBlaricom and Brigid McCue bring their considerable expertise to the topic of Obstet… Read more

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

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In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Amy VanBlaricom and Brigid McCue bring their considerable expertise to the topic of Obstetrics and Gynecologic Hospitalists and Laborists. Top experts provide clinical updates to help obstetrics and gynecology hospitalists stay current, including important topics such as restricted access to termination; medical innovations; crisis management; risk mitigation; and diversity, equity, and inclusion.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
The Role of the Obstetrics and Gynecology Hospitalist in the Changing Landscape of Obstetrics and Gynecology Practice
Key points
Background
The changing obstetrician and gynecologist landscape and obstetrician and gynecologist hospitalists within this context
Obstetrician and gynecologist hospitalist programs are associated with improved care
Collaboration between hospitalists and community practitioners is necessary and beneficial
Hospitalists are responsible for maintaining standards and implementing evidence-based decisions
Hospitalists are leaders providing comprehensive support
Looking ahead
Clinics care points
Can Obstetrics and Gynecology Hospitalists Reduce Severe Maternal Morbidity?
Key points
Maternal mortality
Severe maternal morbidity
Obstetrics and gynecology hospitalists’ role in maternal mortality rate and severe maternal morbidity
Clinics care points
Obstetrics and Gynecologic Hospitalists and Their Focus: Impact on Safety and Quality Metrics
Key points
Patient safety
Quality measures
Summary
The Obstetrics and Gynecology Hospitalist: Risk Management Implications
Key points
Risk management, claims, getting to havarti
What are some common obstetric practices that can weaken perinatal unit defenses? What makes the holes in the Swiss cheese larger?
The hospitalist movement
How does an obstetrics and gynecology hospitalist program function as a safety-net for a perinatal unit?
Introducing the obstetric emergency department
Is there objective evidence that obstetrics and gynecology hospitalists improve outcomes and reduce the chance for adverse outcomes?
The obstetrics and gynecology hospitalist movement and models of care
Overcoming challenges/the role of the risk manager
Cost
Patient satisfaction
Practitioner satisfaction
Establishment of policies and procedures surrounding the obstetrics and gynecology hospitalist model
The following is a compilation of defined duties of an obstetrics and gynecology hospitalist derived from several sample contracts
Early resolution, apology, and disclosure
Challenges to the safety-net
Summary
Organizing and Operationalizing an Effective Obstetric and Gynecologic Hospitalist Program
Key points
Introduction
Discussion
Information technology and systems infrastructure
Hiring the right OB hospitalist clinicians
Training and onboarding the OB hospitalist team
Optimizing the program for operational and clinical success
Building relationships with other medical specialties
Summary
Clinics care points
Triage Versus Obstetric Emergency Department and Main Emergency Department: Best Practices
Key points
Introduction
Advantages to an obstetric emergency department
Considerations with implementation
A note about the emergency medical treatment and labor act
Team and expertise
Physical space
Information technology and health information technology
Summary
Clinics care points
OBGYN Hospitalist Fellowships: An Update on Fellowship Training in the United States
Key points
The OBGYN hospitalist movement
The history of OBGYN hospitalist fellowships
Differences and similarities across OBGYN hospitalist fellowships
Considerations for starting an OBGYN hospitalist fellowship
The biggest challenge in starting and maintaining an OBGYN hospitalist fellowship
Summary and the future of OBGYN hospitalist fellowships
Clinics care points
Obstetrician-Gynecologist Hospitalists as Educators
Key points
Introduction
Roles and duties of the obstetrics and gynecology hospitalist
Training of the obstetrics and gynecology hospitalist
The obstetrics and gynecology hospitalist as an educator
Learning formats
Summary and future direction
Clinics care points
Obstetrics and Gynecology Hospitalists as Champions of Drills and Simulation
Key points
Introduction
Roles of the Ob-Gyn Hospitalist
Crisis Management by Obstetrics and Gynecologist Hospitalists: Lessons Learned in a Pandemic
Key points
Introduction
Patient care during COVID-19
The pandemic workforce
Collaboration and communication during COVID-19
Provider wellness during COVID-19
Obstetrics and gynecology hospitalists as leaders
Clinics care points
Summary
Diversity, Equity, and Inclusion: Obstetrics and Gynecologist Hospitalists’ Impact on Maternal Mortality
Key points
Introduction
Clinical strategies to decrease maternal mortality through the reduction of severe maternal morbidity
Equity considerations in quality & safety
Strategies for obstetrics and gynecology hospitalists as diversity, equity, and inclusion educators to normalize conversations regarding bias- and equity-related considerations: addressing bias
Strategies for obstetrics and gynecology hospitalists as diversity, equity, and inclusion educators: diversifying educators, creating safe spaces for learning and creating relevance through community
Community involvement in eliminating inequities in health outcomes
Summary
Clinics care points
Appendix 1. Obstetric Team Debriefing Form
Appendix 2. OB/GYN Peer Review Form
Appendix 3. Proposed Obstetrics and Gynecology Equity Morbidity and Mortality Conferences
Gynecologic Hospitalists: Expanding the "G" in the Obstetrics and Gynecologic Hospitalist Role
Key points
Introduction
Gynecologic hospitalist roles and responsibilities
Developing a gynecology hospital program and associated hospital resources
The gynecologic hospitalist’s role in quality improvement and safety
Simulation
Education
Summary
Clinics care points
Periviability for the Ob-Gyn Hospitalist
Key points
Introduction
Historic considerations & definitions
Clinical etiologies and presentations
Patient counseling
Clinical management
Outcomes
Controversies & challenges
Summary
Clinics care points

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

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Amy Vanblaricom

Brigid McCue