Introduction - Fact Patterns from Anonymous Closed Medical Liability Cases

Introduction to the anonymous closed medical liability cases. New York Law School\u27s Patient Safety Project was granted special permission by the New York State Office of Court Administration to obtain and make available these closes cases for the purpose of stimulating diligent conversations about the fact patterns so that the discussions can positively impact the safety processes and reduce the future incidence of patient injury.https://digitalcommons.nyls.edu/patient_safety_project/1000/thumbnail.jp

Introduction - Fact Patterns from Anonymous Closed Medical Liability Cases

Introduction to the anonymous closed medical liability cases. New York Law School\u27s Patient Safety Project was granted special permission by the New York State Office of Court Administration to obtain and make available these closes cases for the purpose of stimulating diligent conversations about the fact patterns so that the discussions can positively impact the safety processes and reduce the future incidence of patient injury.https://digitalcommons.nyls.edu/patient_safety_project/1000/thumbnail.jp

First-trimester 3-dimensional power Doppler of the uteroplacental circulation space: a potential screening method for preeclampsia

ObjectiveThe objective of the study was to compare 3-dimensional power Doppler (3DPD) of the uteroplacental circulation space (UPCS) in the first trimester between women who develop preeclampsia (PEC) and those who do not and to assess the 3DPD method as a screening tool for PEC.Study DesignThis was a prospective observational study of singleton pregnancies at 10 weeks 4 days to 13 weeks 6 days. The 3DPD indices, vascularization index (VI), flow index (FI), and vascularization flow index (VFI), were determined on a UPSC sphere biopsy with the virtual organ computer-aided analysis (VOCAL) program.ResultsOf 277 women enrolled, 24 developed PEC. The 3DPD indices were lower in women who developed PEC. The area under the receiver-operating characteristics curve for the prediction of PEC was 78.9%, 77.6%, and 79.6% for VI, FI, and VFI, respectively.ConclusionPatients who develop PEC have lower 3DPD indices of their UPCS during the first trimester. Our findings suggest that this ultrasonographic tool has the potential to predict the development of PEC

The urban community as the client in preterm birth prevention: Evaluation of a program component

Education of communities about preterm birth is essential because preterm birth is a major perinatal health problem, contributing 60-80% of the perinatal mortality in the United States. Preterm birth impacts on the health of the community through the increased morbidity and mortality of the affected children, which leads to higher health care costs and compromised future productivity. The role of early enrollment into prenatal care in the improvement of perinatal outcomes has been established by many investigators. A health education strategy using a communication in the form of a videotaped program was designed in order to increase community awareness about this serious health problem and about the importance of early prenatal care. The purpose of this investigation was to evaluate that strategy by: determining the validity of the communication; analyzing its impact on related behavioral intentions of Community Board members; and assessing the association between behavioral intentions and reported behaviors in those Community Board members. A panel of experts in the fields of prenatal care/preterm birth or health education/communication was used to evaluate the face validity of the communication, using the Communication Rating Scale, an instrument developed by James Malfetti, Ed.D. The Fishbein Linear Regression Model was utilized in ascertaining attitudes and social normative factors predictive of behavioral intentions. A nonequivalent control group design was used to measure the impact of the communication on the behavioral intentions of 10 Community Boards in the Bronx, New York. The findings included high ratings by the expert panel; a positive significant difference behavioral intentions of Community Board members before and after viewing the communication; and significant correlation between behavioral intentions and reported behaviors. Since attitudes were found to be the best predictor of behavioral intention, this investigation concluded that a short potent communication can have a significant impact on attitudes of Community Board members. This evaluation of a community education program suggests that health educators can utilize this strategy in urban areas with poor health outcomes in order to impact on behavioral intentions of community leaders.preterm birth program evaluation health education urban community