
EFM Case Study #09: Verbal Communication

EFM Case Study #09: Verbal Communication is organized by Medical Interactive Community.
Release Date: July 21, 2016
Last Review Date: February 09, 2022
Expiration Date: February 09, 2025
Target Audience:
Perinatal providers: physicians, residents, midwives, and nurses. Other interested parties are welcome to participate.
Description:
Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. Current evidence links miscommunication to 56% of sentinel events and contributes to EFM communication errors. Since 2005, national professional and patient safety organizations endorse and support the use of standardized EFM terminology in an effort to limit EFM communication errors. Unfortunately, universal adoption in clinical practise remains to be seen. A key component of miscommunication of EFM data is the inconsistent or improper use of the NICHD terms and guidelines, 3-Tier FHR Category System, and the current ACOG intrapartum management algorithms. This monograph outlines various verbal communication errors in three EFM case studies; analysis and critical thinking drills help the learner improve EFM communication.
Learning Outcomes/Objectives:
Upon completion, participants should be able to:
• Use the 7 Cs plus a call-to-action + 3 Cs to send and receive EFM information and limit non-verbal and verbal cues that block the flow of clear communication.
• Critique three EFM case studies and apply the NICHD terms and guidelines, NICHD 3 Tier FHR Interpretation System, and the ACOG Intrapartum Management algorithms in the communication of EFM data.
• Utilize a handoff tool to improve organization and dissemination of EFM data while limiting patient harm and medical-legal malpractice claims.