OAR 332-025-0015
Peer Review and Sentinel Events

(1) Pursuant to ORS 687.480 (Rules), an LDM must participate in peer review.
(2) “Peer review” means the candid review and evaluation, subject to ORS 41.675 (Inadmissibility of certain data provided to peer review body of health care providers and health care groups), 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.
(a) Each peer review must be conducted with at least two other LDMs, one of which must be outside the LDM’s practice.
(b) Each peer review must be conducted with providers who perform community births.
(4) At least one of the peer review sessions discussed in subsection (3) of this rule must be conducted through an entity. The peer review must meet the following requirements:
(a) The entity through which the peer review occurs must consist of more than five LDMs.
(b) The entity through which the peer review occurs must be an entity that reviews the quality of professional midwifery care provided by the LDM.
(c) The peer review must be conducted with at least two other LDMs, one of which must be outside the LDMs practice.
(d) The peer review must be conducted with providers who perform community birth.
(5) 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 entity described under subsection (4) 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.

Source: Rule 332-025-0015 — Peer Review and Sentinel Events, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=332-025-0015 (accessed May 26, 2025).

May 26, 2025

Rule 332-025-0015's source at or​.us