The obstetrical emergency department: need, rationale, and guide to implementation.
Am J Obstet Gynecol
; 230(6): 642-648, 2024 06.
Article
en En
| MEDLINE
| ID: mdl-38128865
ABSTRACT
The past 2 decades have seen dramatic growth in the number of obstetrics and gynecology hospitalists, and many hospitals have created obstetrical-specific emergency departments. The goals of an obstetrics emergency department are to provide safe and efficient care to the pregnant dyad and postpartum patient, while generating revenue for emergency services provided. In an obstetrics emergency department, all patients must be evaluated in person by a licensed practitioner, whereas historically they may have been evaluated in person by nursing staff or a trainee. We make the argument that formation of an obstetrics emergency department has the potential to improve the safety and quality of patient care. In addition, the financial benefits to institutions are substantial and can subsidize the cost of maintaining obstetrician presence all the time in the hospital. There are various regulatory requirements to become certified, accredited, and licensed as an emergency department. In addition, there are many operational and systems issues that institutions should consider before implementation. We provide a guide for healthcare systems considering creating an obstetrics emergency department.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Servicio de Urgencia en Hospital
/
Obstetricia
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Israel