title: Patient safety series: obstetric safety improvement and its reflection in reserved claims.
abstract: In reviewing outcomes that are associated with the implementation of a series of labor and delivery patient safety efforts from 2004-2009, we requested data on the number of related professional liability claims that were reserved by our insurance companies that are established with the specific objective of financing risks that emanate from their parent group or groups. While we restructured the manner in which we give care, required training modules, and provided simulations to our providers, our legal risk continued to be monitored independently and in parallel. Retrospective review of the number of cases for which money was held in reserve for claims demonstrated a 20% decrease per year, which was adjusted for delivery volume, over this time period. We believe that the improved care that resulted from our safety projects has led to this decreased legal risk.
authors.affiliation: Department of Obstetrics and Gynecology, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. Ronald.Iverson@bmc.org
authors.forename: Ronald E
authors.initials: RE
authors.lastname: Iverson
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Heffner
mesh_terms: D002983:Clinical Competence / Q000191:economics; D036861:Delivery, Obstetric / Q000191:economics; D005260:Female; D006801:Humans; D016365:Liability, Legal / Q000191:economics*; D009774:Obstetrics / Q000191:economics*; D010348:Patient Care Team / Q000191:economics; D061214:Patient Safety / Q000191:economics*; D011247:Pregnancy; D058996:Quality Improvement / Q000191:economics