RESUMO
The law of defamation and the risks involved in issuing employment references are discussed. A hypothetical scenario is used to illustrate the legal standards governing the tort of defamation and to apply those standards to employment references. Practical suggestions for a "controlled reference" policy are provided, with the objective of allowing for responsible exchange of employment information and avoiding a defamation lawsuit.
Assuntos
Laboratórios Hospitalares/legislação & jurisprudência , Responsabilidade Legal , Seleção de Pessoal/legislação & jurisprudência , Avaliação de Desempenho Profissional , Candidatura a Emprego , Pessoal de Laboratório Médico/legislação & jurisprudência , Pessoal de Laboratório Médico/normas , Gestão de Riscos/métodos , Estados Unidos , Recursos HumanosRESUMO
Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fetal macrosomia were postpartum hemorrhage and shoulder dystocia. One-minute Apgar score was less than 7 in 10.9% of the macrosomic infants, in contrast to 6.3% for the smaller infants studied as controls. The low fetal mortality rate (1.8%) was attributed to a 22.5% cesarean rate for the macrosomia group. Even more frequent use of abdominal delivery might further reduce obstetric and neonatal complications for macrosomic infants.