AHRQ Patient Safety Network

The Collection > Gynecology

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (6)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (12)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (15)

•Medical Complications (12)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (15)

•Transfusion Complications (1)

•Psychological and Social Complications (5)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (1)

•Europe (1)

•North America (37)

Resource Types

•Award (1)

•Journal Article (53)

•Legislation/Regulation (9)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (9)

•Active Errors (19)

•Latent Errors (9)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (31)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (13)

•Communication Improvement (29)

•Human Factors Engineering (13)

•Teamwork (6)

•Specialization of Care (5)

•Logistical Approaches (5)

•Culture of Safety (6)

•Technologic Approaches (16)

•Education and Training (13)

Clinical Areas
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Gynecology

Target Audience

•Health Care Providers (62)

•Health Care Executives and Administrators (51)

•Non-Health Care Professionals (22)

•Patients (4)

Setting of Care

•Hospitals (51)

•Ambulatory Care (6)

•Outpatient Surgery (3)

•Patient Transport (1)

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COMMENTARY

The Other Side.

Vincent C. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

Ectopic or Not?

Givens VM, Lipscomb GH. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Feeling No Pain.

Bogner MS. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Not a Miscarriage.

Learman LA. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

OR Peeping.

Mackenzie CF. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Lap Burn.

Ball K. AHRQ WebM&M [serial online]. October 2004.

STUDY

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety.

Einav Y, Gopher D, Kara I, et al. Chest. 2010;137:443-449.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

COMMENTARY

Patient safety in the ambulatory OB/GYN setting.

Weiss PM, Swisher E. Clin Obstet Gynecol. 2012;55:613-619.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

COMMENTARY

Procedural Mishap: Learning Curve?

Gibbs VC, Leape LL. AHRQ WebM&M [serial online]. February 2003.

STUDY

Hospital costs associated with adverse events in gynecological oncology.

Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Gynecol Oncol. 2011;121:70-75.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

COMMENTARY

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery.

Erickson TB, Kirkpatrick DH, DeFrancesco MS, Lawrence HC III. Obstet Gynecol. 2010;115:147-151.

COMMENTARY

The Forgotten Drip

Josephson SA. AHRQ WebM&M [serial online]. January 2008.

COMMENTARY

Identifying Adverse Events Not Present on Admission: Can We Do It?

Naessens JM. AHRQ WebM&M [serial online]. October 2008.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

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