Clinical Expert Series
Obstetric Safety and Quality
Christian M. Pettker, MD and William A. Grobman, MD, MBA
Obstet Gynecol 2015;126(1)
Continuing Medical Education credit is provided through joint sponsorship with
The American College of Obstetricians and Gynecologists.
ACCME Accreditation
The American College of Obstetricians and Gynecologists (the College) is accredited by the Accreditation Council for
Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA PRA Category 1 Credit(s)™
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 2 AMA PRA
Category 1 Credits.™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.
College Cognate Credit(s)
The American College of Obstetricians and Gynecologists designates this enduring material for a maximum of 2 Category 1
College Cognate Credits. The College has a reciprocity agreement with the AMA that allows AMA PRA Category 1 Credits™ to
be equivalent to College Cognate Credits.
Disclosure Statement
Current guidelines state that continuing medical education (CME) providers must ensure that CME activities are free from the
control of any commercial interest. All authors, reviewers, and contributors have disclosed to the College all relevant financial
relationships with any commercial interests. The authors, reviewers, and contributors declare that neither they nor any
business associate nor any member of their immediate families has financial interest or other relationships with any
manufacturer of products or any providers of services discussed in this program. Any conflicts have been resolved through
group and outside review of all content.
Submission
Before submitting this form, please print a completed copy as confirmation of your program participation.
College Fellows: To obtain credits, complete and return this form by e-mail (obgyn@greenjournal.org) or fax (202-4790830). Your score, and a copy of the answer key, will be e-mailed to you after receipt of a completed quiz. Credit will be
recorded for those participants answering 80–100% of questions correctly. College Fellows may check their transcripts
online at http://www.acog.org, and any questions related to transcripts may be directed to educationcme@acog.org. For other
queries, please contact the Obstetrics & Gynecology Editorial Office, 202-314-2317 (phone) or obgyn@greenjournal.org (email).
Non–College Fellows: To obtain credits, submit the printout of the completed quiz to your accrediting institution. The printout
of the completed quiz is documentation for your continuing medical education credits.
Continuing medical education credit for “Obstetric Safety and Quality” will be available through July 2018.
1. The leading cause of hospitalizations in the United States is:
Diabetes-related complications
Infectious disease
Obstetric care
Obesity-related disease
Smoking-related disease
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;126(1)
Credit available through July 2018
Page 1 of 3
2. A system with a strong patient safety culture is characterized by:
Advance approval by The Joint Commission
Continuous quality-improvement projects
Encompassing the entire health care team
Implementation of quality measures
Punitive measures to ensure individual performance
3. From a health care perspective, quality is the achievement of:
Reduced cost of care
Reduced inadvertent adverse events
Reproducible health care results
The best possible outcomes
Uniform medical practices
4. Because failures cannot always be anticipated, effective patient safety programs should:
Create layers of oversight (hierarchies)
Establish quality standards
Eventually fail
Recognize and manage failure
Reduce human involvement in care
5. The 2004 Joint Commission Sentinel Event Alert (SEA) report on preventing infant death found that
the most common root cause of perinatal death is:
Communication
Staff competency
Staffing
Training
Unavailability of prenatal records
6. One of the greatest barriers in designing safety interventions that can be assessed is:
Confounding
Institutional review board approval
Lack of historical data
Poor funding
Staff resistance
CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;126(1)
Credit available through July 2018
Page 2 of 3
7. After forming a team for a Plan-Do-Study-Act cycle study, the next step is to:
Craft the intervention
Define terms
Determine how to measure
Determine what to measure
Set aims and objectives
8. Quality measures are often considered to come in the three forms of:
Act, measure, and modify
Clinical, process, and administrative
Cost, efficiency, and safety
Identify, modify, and clarify
Structure, process, and outcome
9. The poor performance of hospitals on the Perinatal Care core measure set is primarily due to poor
performance on the portion of the index related to:
Breastfeeding
Circumcision rates
Elective deliveries prior to 39 0/7 weeks of gestation
Newborn septicemia
Primary cesarean deliveries
10. The obstetric adverse outcome index is limited as a quality measure by:
Differing populations
Domination by a single measure
Inconsistent definition of terms
Infrequent occurrence of measured events
Reluctance of reporting agencies to provide full disclosure
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CME Quiz for the Clinical Expert Series
Obstet Gynecol 2015;126(1)
Credit available through July 2018
Page 3 of 3