AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (7)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (7)

•Medical Complications (4)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (15)

•Psychological and Social Complications (5)

Origin/Sponsor

•Australia and New Zealand (1)

•North America (46)

Resource Types

•Book/Report (1)

•Journal Article (38)

•Legislation/Regulation (10)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (2)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (6)

•Active Errors (10)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (25)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (16)

•Communication Improvement (18)

•Human Factors Engineering (11)

•Teamwork (5)

•Specialization of Care (2)

•Logistical Approaches (2)

•Culture of Safety (10)

•Technologic Approaches (5)

•Education and Training (12)

Clinical Areas
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Gynecology

Target Audience

•Health Care Providers (41)

•Health Care Executives and Administrators (39)

•Non-Health Care Professionals (15)

•Patients (3)

Setting of Care

•Hospitals (29)

•Ambulatory Care (7)

•Outpatient Surgery (3)

1 - 20 of 55

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ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #520: disclosure and discussion of adverse events.

ACOG Committee on Patient Safety and Quality Improvement and Committee on Professional Liability. Obstet Gynecol. 2012;119:686-689.

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.

STUDY

Cause and effect analysis of closed claims in obstetrics and gynecology.

White AA, Pichert JW, Bledsoe SH, Irwin C, Entman SS. Obstet Gynecol. 2005;105:1031-1038.

COMMENTARY

Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust.

Scholefield H. Best Pract Res Clin Obstet Gynaecol. 2007;21:593-607.

STUDY

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Raab SS, Andrew-Jaja C, Condel JL, Dabbs DJ. Am J Obstet Gynecol. 2006;194:57-64.

STUDY

classic

Risks of complications by attending physicians after performing nighttime procedures.

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

COMMENTARY

Insert Omission

Darney P. AHRQ WebM&M [serial online]. April 2006.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #327: "Do not use" abbreviations.

ACOG Committee on Quality Improvement and Patient Safety. Obstet Gynecol. 2006;107:213-214.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #546: tracking and reminder systems.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2012;120:1535-1537.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

SPECIAL OR THEME ISSUE

Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks.

Gluck PA, ed. Obstet Gynecol Clin N Am. 2008;35:1-168.

REVIEW

Overview of progress on patient safety.

Pronovost PJ, Holzmueller CG, Ennen CS, Fox HE. Am J Obstet Gynecol. 2011;204:5-10.

STUDY

Prescription of teratogenic medications in United States ambulatory practices.

Schwarz EB, Maselli J, Norton M, Gonzales R. Am J Med. 2005;118:1240-1249.

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.

COMMENTARY

Patient safety in obstetrics and gynecology: an agenda for the future.

Pearlman MD. Obstet Gynecol. 2006;108:1266-1271.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #366: disruptive behavior.

ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians and Gynecologists. Obstet Gynecol. 2007;109:1261-1262.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

BOOK/REPORT

Quality and Safety in Women's Health Care. 2nd ed.

Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930.

STUDY

Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3?

Meeks DW, Lally KP, Carrick MM, et al. Am J Surg. 2011;201:76-83.

STUDY

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.

Philibert I. Qual Saf Health Care. 2009;18:261-266.

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