OAR 332-025-0015: Peer Review and Sentinel Events

(1) Pursuant to ORS 687.480, an LDM must participate in peer review. (2) "Peer review" means the candid review and evaluation, subject to ORS 41.675, of midwifery practice. The objective of peer review includes reviewing the care provided, making recommendations for quality improvement, and identifying areas where additional education or skills training is needed. (3) An LDM must participate in at least two peer review sessions per year, regardless of the number of births attended. (4) Each peer review must be conducted with at least two other LDMs, one of which must be outside the LDM’s practice. (5) An LDM who is attending births must present at least two cases per year for peer review with a midwifery peer review organization or midwifery quality improvement organization that maintains a charter and standards for peer review. (6) An LDM who has had one of the following sentinel events must have the sentinel event reviewed within 90 days of the event by the organization described under subsection (5) of this rule: (a) Maternal hospitalization for infection; (b) Maternal hospitalization requiring blood transfusion; (c) Uterine rupture; (d) Maternal or neonatal death; (e) Neonate admitted to Neonatal Intensive Care Unit within 72 hours (except for observation or anomaly); or (f) Transfer care deemed emergent by the LDM.