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Re: 66% Induction Rate From: art fougner, md (evsono@pipeline.com) Tue May 29 09:07:13 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: 66% Induction Rate" Previous message: Richard Chudacoff, MD: "Re: 66% Induction Rate" In reply to: Richard Chudacoff, MD: "Re: 66% Induction Rate" Reply: Richard Chudacoff, MD: "Re: 66% Induction Rate" Reply: Efrain Ramirez: "Re: 66% Induction Rate" point of clarification - if an increased induction rate yielded a high patient satisfaction rate, no increase in either section rate nor perinatal mortality/morbidity, what exactly would be the problem? art At Tue, 29 May 2001, Richard Chudacoff, MD wrote: > >What is this OB's c-section rate, complication rate or other adverse outcome >rate? If it is the same or less than the other OB's on staff, what is the >problem? > >-- >Richard Chudacoff, MD > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Dr Don >Miller >Sent: Tuesday, May 29, 2001 7:48 AM >To: Multiple recipients of list OB-GYN-L >Subject: Re: 66% Induction Rate > >>i am starting to do more work in an l & d where one lone ob - so far - has >>a 66% induction rate this year - >>i am going to ask for prospective induction reviews > >Unless you are the department chair, your request will probably not be >well-received as the practice and political dynamics at the L&D have >allowed this rate to occur in the first place. It's likely that there >is some unspoken agreement among those that have worked there longer >than you. > >IMHO, if you get the dept chair to agree, retrospective (?monthly) bar >charts of all providers' rates distributed every month can do a lot to >lower such rates especially when there is one outlier. > >Be careful, you may be perceived as a sanctimonius (like a lot of us on >this list) outsider and the docs already there may turn their sights on >someone who doesn't fit into their view of normal (e.g. a doc who wears >black leather jackets, has piercings or wears chrome jewelery, or rides >a Harley!) > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Richard Chudacoff, MD: "Re: 66% Induction Rate" Previous message: Richard Chudacoff, MD: "Re: 66% Induction Rate" In reply to: Richard Chudacoff, MD: "Re: 66% Induction Rate" Reply: Richard Chudacoff, MD: "Re: 66% Induction Rate" Reply: Efrain Ramirez: "Re: 66% Induction Rate"

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