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Stop! Check your initial assumptions: Frozen patient management in obstetrical practice.

Abstract At times, leaping from one patient management routine to an alternative one may be required to mitigate medical errors. "Frozen patient management" is the resultant situation, when, in the face of an obvious gap between the expected and the actual phenomena, leaping from current patient management to an alternative one is not considered or done. Frozen patient management can lead to a significant delay of the correct definitive intervention, be it surgical or pharmacological. The significance of this delay is especially important in time-dependent dynamic situations. In delivery ward, this may cost the life of either the fetus or the mother.In this study, we describe a sequence in which frozen patient management occurred in the delivery ward. Using "thinking protocol" (herein termed "de-freezing" questionnaire) made the team stop and consider a leap when gaps became apparent, and saved the mother's life.We believe that adopting the "de-freezing questionnaire" as a routine adjunct for all medical activities would lead to a timely change of treatment line, which, in turn, will save lives and unnecessary suffer.
PMID
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De-freezing frozen patient management.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390383
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Stop! Check your initial assumptions: Frozen patient management in obstetrical
      practice.
PG  - e9280
LID - 10.1097/MD.0000000000009280 [doi]
AB  - At times, leaping from one patient management routine to an alternative one may
      be required to mitigate medical errors. "Frozen patient management" is the
      resultant situation, when, in the face of an obvious gap between the expected and
      the actual phenomena, leaping from current patient management to an alternative
      one is not considered or done. Frozen patient management can lead to a
      significant delay of the correct definitive intervention, be it surgical or
      pharmacological. The significance of this delay is especially important in
      time-dependent dynamic situations. In delivery ward, this may cost the life of
      either the fetus or the mother.In this study, we describe a sequence in which
      frozen patient management occurred in the delivery ward. Using "thinking
      protocol" (herein termed "de-freezing" questionnaire) made the team stop and
      consider a leap when gaps became apparent, and saved the mother's life.We believe
      that adopting the "de-freezing questionnaire" as a routine adjunct for all
      medical activities would lead to a timely change of treatment line, which, in
      turn, will save lives and unnecessary suffer.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Kobo-Greenhut, Ayala
AU  - Kobo-Greenhut A
AD  - The Department of Management, Bar Ilan University.
FAU - Sakas, Jawad
AU  - Sakas J
AD  - Baruch Padeh Medical Center, Department of Obstetrics and Gynecology, Poria.
AD  - Faculty of Medicine in the Galilee, Bar-Ilan University, Israel.
FAU - Magnezi, Racheli
AU  - Magnezi R
AD  - The Department of Management, Bar Ilan University.
FAU - Ben Shlomo, Izhar
AU  - Ben Shlomo I
AD  - Baruch Padeh Medical Center, Department of Obstetrics and Gynecology, Poria.
AD  - Faculty of Medicine in the Galilee, Bar-Ilan University, Israel.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Cesarean Section
MH  - Diagnosis, Differential
MH  - Female
MH  - HELLP Syndrome/*diagnosis/*drug therapy
MH  - Humans
MH  - Medical Errors/*prevention & control
MH  - Patient Care Team/*organization & administration
MH  - Pregnancy
MH  - Pregnancy Outcome
MH  - Surveys and Questionnaires
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009280 [doi]
AID - 00005792-201712150-00133 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9280. doi: 10.1097/MD.0000000000009280.