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Re: Quality AssuranceFrom: ainsron (ainsron@sbcglobal.net)Mon Jan 7 17:50:54 2008
In our hospital, we have a combined Ob/Peds - Perinatal committee. The chairmanship rotates between peds and Ob. The only ones who have to leave during peer review discussion are nurses and auxiliary personnel, CNMs are also allowed to stay. The pediatricians normally reviews and discuss their charts and the Obs review and discuss their charts. If there is interplay - for example a compromised baby following a C/S or complicated delivery - we all have an opportunity to give our 2 cents. I don't see a problem with a pediatrician or neonatologist being present and at times would welcome their input. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Lynn Montgomery Sent: Monday, January 07, 2008 12:31 PM To: Multiple recipients of list OB-GYN-L Subject: Quality Assurance It has taken about nine years, but our hospital OB/GYN Dept. finally has a semblance of quality assurance/peer review. I perceive one significant issue with the process however and I would like your help. One of our neonatologists attends the OB/GYN Dept meeting as the pediatric representative - which is fine. However, when it comes time to do peer review, this individual insists upon staying in the meeting when all other non-obstetric provider attendants are excused. I feel that the discussions undertaken during peer review should be amongst the providers within that specific department only. Opinions please! Lynn Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana, 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@thebirthcentermt.com
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