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Relias OB

Relias OB (formerly GNOSIS™) is an assessment, education, and analytics tool that transforms how doctors and nurses learn through the power of data

Improve the Quality of Care and Mitigate the Risk of an Adverse Event in the High-Risk Area of Obstetrics

According to the American Congress of Obstetricians and Gynecologists, 42% of obstetricians have experienced a liability claim, many of which can be attributed to issues in proficiency and team communication. These can be avoided with targeted and timely training, education, and analytics provided by Relias OB.

Assess Proficiency

Measure clinicians' knowledge and judgment through a validated assessment

Measure Learning

Deliver a personalized learning path prioritized by learning needs

Mitigate Risk

Utilize user-friendly analytics to identify opportunities for improvement

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Now Reviewed and Validated by AWHONN!

Relias OB is an innovative education and analytics platform that engages up to 20% of all OB clinicans in the United States. This comprehensive program transforms how clinicians learn and how healthcare facilities use data to improve quality of care and patient safety in the following high-risk obstetrical areas:

  • Fetal Assessment and Monitoring
  • Shoulder Dystocia
  • Obstetrical Hemorrhage
  • Hypertensive Disorders in Pregnancy
  • Promoting Vaginal Birth
Clinical Team

Designed for Clinical Teams

With Relias OB, hospital leaders gain clinical proficiency data to identify areas of improvement that can reduce the risk of an adverse event. Clinicians master learning in critical risk areas to improve quality of care and achieve their highest potential. GNOSIS is designed for:

  • Physicians
  • Nurses
  • Residents
  • Midwives

Course 1: Fetal Assessment and Monitoring

A tracing-centered approach to teach advanced concepts of fetal assessment and monitoring. Topics include anatomy and physiology, pattern identification, NICHD nomenclature, FHR components, patterns, interventions, and pattern management.

Learning Outcomes

  • Knowledge of electronic fetal monitoring and its nomenclature and interpretation
  • Evaluation and management of Category II EFM tracing
  • Evaluation and management of Category III EFM tracing
  • Assess knowledge of appropriate risk management practices

Learn how Universal Health Services improved nurse proficiency with Relias OB Fetal Assessment and Monitoring.


Course 2: Shoulder Dystocia

A team-based model optimized for high-risk environments where collaboration is imperative. Content covers how to manage various aspects of shoulder dystocia (SD) with illustrations and explanations of the maneuvers used to resolve this obstetric emergency.


Learning Outcomes

  • Appropriate documentation for a SD event
  • Identify common maneuvers used for deliver management
  • Understand and explain the importance of training and teamwork
  • Identify potential outcomes of SD
  • Identify recognized risk factors of SD
  • Define and describe the mechanics of SD

Course 3: Obstetrical Hemorrhage

An overview of tools, guidelines, and approaches for managing obstetrical hemorrhage (OH). Content covers how to recognize abnormal bleeding, quantify blood loss and identify common risk factors, plus how to understand early interventions.

Learning Outcomes

  • Understand the role of maternal physiology in OH
  • Demonstrate knowledge and skill in blood loss determination
  • Recognize how to assess risk, prevent, and prepare for an OH event
  • Demonstrate knowledge of blood component options, resuscitation, and transfusion guidelines
  • Recognize when to utilize medical options to manage OH
  • Understand when and how to utilize pre-surgical interventions

Course 4: Hypertensive Disorders in Pregnancy

A comprehensive update of 2013 California Maternal Quality Care Collaborative and American Congress of Obstetricians and Gynecologists (ACOG) evidence-based guidelines around the diagnosis and management of hypertensive disorders in pregnancy (HDP). Content covers classification and nomenclature, diagnostic criteria, and management guidelines.


Learning Outcomes

  • Recognize ACOG updated nomenclature and diagnostic criteria guidelines
  • Understand which patients are at risk for HDP
  • Apply risk awareness and progressive nature of disease towards early recognition and mitigation of disease
  • Understand and apply the correct diagnostic criteria for HDP
  • Apply best practices for blood pressure measurement and management in pregnancy
  • Correctly interpret data to diagnose complex or atypical patient presentations
  • Understand and apply practice guidelines in management of patients with HDP
  • Recognize which patients can be expectantly managed versus those that should be delivered immediately

Course 5: Promoting Vaginal Birth

This course examines the rise in cesarean birth rate with associated patient, medical, and financial impacts. Clinical strategies to promote safe vaginal birth are presented including promotion of physiologic labor, selective use of labor induction, contemporary labor and FHR tracing management, appropriate use of vaginal birth after cesarean (VBAC), and management of fetal malpresentation.

Learning Outcomes

  • Understand the factors that may contribute to higher rates of cesarean birth
  • Describe labor and delivery unit based procedures and practices that can promote vaginal delivery
  • Apply updated definitions for the diagnosis of labor abnormalities used when determining the need for cesarean birth
  • Describe clinical strategies that may help minimize the risk for cesarean birth associated with labor induction
  • Apply NICHD FHR nomenclature and interpretation when assessing the need for cesarean delivery
  • Describe the associated risks and benefits of vaginal, cesarean, and TOLAC deliveries

ACCME Accreditation

ACCME AccreditedRelias is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. APS designates this enduring material for a maximum of AMA PRA Category 1 Credit(s)™ as cited above. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accreditation

ANCC AccreditedThis activity is provided by Relias. Relias is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider # CEP-16168 for Contact Hours as cited above. Participants who complete this activity in its entirety will be awarded contact hour(s) as cited above.


Are you ready to explore Relias OB for your hospital?

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Patient Safety in OB begins with Evidence-Based, Adaptive Learning

On-Demand Webinar

The obstetrical team at Dignity Health has a patient safety strategy that tracks 40 metrics. Learn how the team incorporated Relias OB to be part of their patient safety initiative and hear the clinical outcomes in shoulder dystocia, brahcial plexus injury, and eclampsia being achieved from their data-driven approach.

Watch webinar


Suzanne Wiesner, RN, MBA/HCM

Director of Maternal Child Health Services, Dignity Health