scholarly journals Rational Health Policy and the Legal Standard of Care: A Call for Judicial Deference to Medical Practice Guidelines

1989 ◽  
Vol 77 (6) ◽  
pp. 1483 ◽  
Author(s):  
Richard E. Leahy
Keyword(s):  
Health Policy ◽  
Medical Practice ◽  
Practice Guidelines ◽  
Standard Of Care ◽  
Legal Standard

WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Valentina De Robertis ◽  
Cihat Sen ◽  
Ilan Timor-Tritsch ◽  
Rabih Chaoui ◽  
Paolo Volpe ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Practice Guidelines ◽  
Standard Of Care ◽  
Ultrasound Scan ◽  
Perinatal Medicine ◽  
Legal Standard ◽  
World Association ◽  
The World ◽  
Ultrasound Assessment

Abstract These practice guidelines follow the mission of the World Association of Perinatal Medicine in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal Central Nervous System (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

scholarly journals WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

2021 ◽  
Vol 29 ◽  
Author(s):  
Valentina De Robertis ◽  
Cihat Şen ◽  
Ilan Timor-Tritsch ◽  
Rabih Chaoui ◽  
Paolo Volpe ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Practice Guidelines ◽  
Standard Of Care ◽  
Ultrasound Scan ◽  
Perinatal Medicine ◽  
Legal Standard ◽  
World Association ◽  
The World ◽  
Ultrasound Assessment

These practice guidelines follow the mission of the World Association of Perinatal Medicine (WAPM) in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal central nervous system (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

scholarly journals The Role for Intra-Partum Antibiotics in Previously GBS-Colonised Pregnancies, Not So Straightforward After All: A Case Study

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Medical Practice ◽  
Practice Guidelines ◽  
Early Onset ◽  
Standard Of Care ◽  
The United States ◽  
Obstetrics And Gynecology ◽  
Clinical Context

Background: Group B Streptococcus (GBS) is the most frequent pathogen involved in early-onset infection in newborn infants. The incidence of early-onset GBS disease (EOGBS) is estimated at 0.4 and 0.57 per 1000 births in the United States of America and the United Kingdom respectively. It is clear that administration of intrapartum antibiotics (IAP) significantly reduces risk of EOGBS (RR 0.17, 95% CI 0.04 to 0.74; number needed to treat to benefit 25, 95% CI 14 to 100), hence institutes such as the Royal College of Obstetrics and Gynecology (RCOG), and American College of Obstetrics and Gynecology (ACOG), have released clinical practice guidelines (CPGs) with the aim to improve the standard of care in GBS screening and IAP for the prevention of EOGBS in neonates. CPGs guide clinicians in their management based on a consensus of care drawn from clinical evidence and offer a standard of care for them to fall back on to guard against medical malpractice litigation. However, deviation from the intended clinical context or the failure to recognize the limits of such guidelines could compromise patient safety. Aim: The aim of this case study is to highlight the role and limitations of clinical practice guidelines in medical practice, through a case of an early onset GBS infection in a neonate that was a result of selectively applying the RCOG and ACOG guidelines outside their intended context. Conclusion: The case illustrates the importance of applying guidelines correctly within the appropriate clinical context but serves also as a reminder for clinicians to understand the limitations of them when accounting for other co-conditions patients often present with in daily medical practice.

YOUR DOCTOR IS NOT IN, BY JANE M. ORIENT

PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. 317-317
Author(s):  
J. F. L.
Keyword(s):  
Abdominal Pain ◽  
Medical Practice ◽  
Practice Guidelines ◽  
Clinton Administration ◽  
Medical Schools ◽  
Improve Quality ◽  
Ear Infection ◽  
Medical Graduates ◽  
The Government

The government has signed a contract to pay $850,000 for development of "practice guidelines" and "protocols" to tell doctors how to treat an ear infection, a $20 problem. If the Clinton administration has its way, there will be protocols for the treatment of virtually every ailment. Yet there is no evidence that protocols save money or improve quality. Nurses, for instance, outperform protocols in deciding how to treat abdominal pain. So why aren't doctors raising a cry of alarm? Many have been browbeaten into submission, or have discovered that it's easier to play the game than to buck the system. But also, a different type of person is entering medical practice these days. Although the evidence is largely anecdotal, Dr. Orient says that the best students are avoiding medical schools and the schools are lowering their standards. (In 1990, 16% of medical graduates flunked the national boards, compared with 9% in 1984.)

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