ACOG Committee Opinion #546: tracking and reminder systems.

American College of Obstetricians and Gynecologists Committee on Patient Safety and Quality Improvement

Commentary

ACOG Committee Opinion #546: tracking and reminder systems.

December 12, 2012

Improvement AC of O and GC on PS and Q. Obstet Gynecol. 2012;120(6):1535-7.

View more articles from the same authors.

This revision of the 2010 committee statement describes important characteristics for tracking systems and patient reminders to prevent missed or delayed diagnoses.

PubMed citation

Available at

Related Resources From the Same Author(s)

ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.

April 30, 2014

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

December 16, 2009

ACOG Committee Opinion #531: improving medication safety.

September 19, 2012

ACOG Committee Opinion #681: disclosure and discussion of adverse events.

January 30, 2005

ACOG Committee Opinion #621: patient safety and health information technology.

April 1, 2015

Principles of pediatric patient safety: reducing harm due to medical care.

June 15, 2011

Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society.

October 10, 2012

The development and implementation of checklists in obstetrics.

September 27, 2017

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

December 5, 2018

Principles supporting dynamic clinical care teams: an American College of Physicians position paper.

September 25, 2013

Pediatric Readiness in the Emergency Department.

November 1, 2018

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

December 7, 2005

The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice.

June 10, 2015

Improving handoffs in the emergency department.

October 28, 2009

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

April 22, 2009

Medication errors in pediatric inpatients: prevalence and results of a prevention program.

September 17, 2008

Pediatric medication safety in the emergency department.

March 14, 2018

Economic evaluation of the impact of medication errors reported by US clinical pharmacists.

November 27, 2013

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

March 14, 2012

Identification errors involving clinical laboratories: a College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions.

August 16, 2006

Case studies of patient safety research classics to build research capacity in low- and middle-income countries.

December 11, 2013

Patient safety in the pediatric emergency care setting.

January 2, 2008

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

November 12, 2008

Process indicators of quality clinical pharmacy services during transitions of care.

December 12, 2012

Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences.

December 15, 2010

Improving care transitions: current practice and future opportunities for pharmacists.

December 5, 2012

Recommendations from a national panel on quality improvement in obstetrics.

April 24, 2019

Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists.

August 5, 2009

Quality improvement in healthcare in New Zealand. Part 2: are our patients safe--and what are we doing about it?

August 16, 2006

Global priorities for patient safety research.

June 3, 2009

Patient safety research: an overview of the global evidence.

March 17, 2010

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.

October 23, 2019

Are you using checklists? Check!

August 4, 2010

In situ simulated cardiac arrest exercises to detect system vulnerabilities.

June 10, 2015

Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults.

May 22, 2019

Disclosure of medical errors: the right thing to do.

September 1, 2010

Errors in administration of parenteral drugs in intensive care units: multinational prospective study.

March 25, 2009

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

June 19, 2013

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

August 16, 2006

The development and implementation of cognitive aids for critical events in pediatric anesthesia: the Society for Pediatric Anesthesia Critical Events Checklists.

March 15, 2017

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

October 15, 2008

Can we make postoperative patient handovers safer? A systematic review of the literature.

May 30, 2012

Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.

March 6, 2005

Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.

June 20, 2018

Transforming healthcare: a safety imperative.

December 9, 2009

Electronic prescribing in pediatrics: toward safer and more effective medication management.

April 10, 2013

The WHO patient safety curriculum guide for medical schools.

January 12, 2011

Successful implementation of the Department of Veterans Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study.

August 13, 2008

Measures of patient safety in developing and emerging countries: a review of the literature.

March 17, 2010

Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.

August 22, 2007

Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital.

March 29, 2012

Overdose risk in young children of women prescribed opioids.

March 15, 2017

Use of board certification and recertification of pediatricians in health plan credentialing policies.

March 8, 2006

Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study.

June 25, 2014

Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging.

March 8, 2006

Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.

December 14, 2005

Medication safety issue brief. Look-alike, sound-alike drugs.

November 2, 2005

Improving care transitions: optimizing medication reconciliation.

August 22, 2012

2005 Quest for Quality Prize.

October 5, 2005

Medication safety issue brief. Bar code implementation strategies.

September 21, 2005

Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model.

July 8, 2015

Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.

October 10, 2012

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.

October 15, 2014

Practice Advisory on Intraoperative Awareness and Brain Function Monitoring.

July 27, 2005

Equipped: overcoming barriers to change to improve quality of care (theories of change).

March 18, 2015

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee.

June 15, 2016

Electronic prescribing systems in pediatrics: the rationale and functionality requirements.

August 15, 2007

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.

March 27, 2005

Use of medical emergency team (MET) responses to detect medical errors.

March 6, 2005

Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians.

February 28, 2018

July 27, 2016

Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians.

June 19, 2019

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.

May 7, 2008

An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events.

November 5, 2014

When policy meets physiology: the challenge of reducing resident work hours.

June 28, 2006

Trends in survival after in-hospital cardiac arrest during nights and weekends.

February 7, 2018

Delayed time to defibrillation after in-hospital cardiac arrest.

January 16, 2008

I-PASS handoff program: use of a campaign to effect transformational change.

August 15, 2018

What to expect when you're evaluating healthcare improvement: a concordat approach to managing collaboration and uncomfortable realities.

April 29, 2015

An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains.

September 23, 2015

Effective implementation of work-hour limits and systemic improvements.

November 28, 2007

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA.

February 13, 2013

Implications of the failure to identify high-risk electrocardiogram findings for the quality of care of patients with acute myocardial infarction: results of the Emergency Department Quality in Myocardial Infarction (EDQMI) study.

November 8, 2006

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment.

June 10, 2015

Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.

January 22, 2014

'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.

March 6, 2013

ASPEN parenteral nutrition safety consensus recommendations.

December 11, 2013

EACTS guidelines for the use of patient safety checklists.

March 29, 2012

Practice advisory for the prevention and management of operating room fires.

May 7, 2008

Risk factors for adverse events in emergency department procedural sedation for children.

October 25, 2017

Guidelines for the prevention of intravascular catheter-related infections.

May 25, 2011

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.

December 11, 2013

Effect of reducing interns' weekly work hours on sleep and attentional failures.

March 27, 2005

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.

June 25, 2014

Simulation in graduate medical education 2008: a review for emergency medicine.

August 13, 2008

I-PASS mentored implementation handoff curriculum: champion training materials.

March 13, 2019

ACR guidance document on MR safe practices: 2013.

March 21, 2013

ASPEN Safe Practices for Enteral Nutrition Therapy.

December 14, 2016

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations to address diagnostic errors.

October 12, 2022

Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites.

August 3, 2022

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review.

July 22, 2020

Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.

February 26, 2020

A survey of outpatient internal medicine clinician perceptions of diagnostic error.

February 5, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.

May 29, 2019

Systematic error and cognitive bias in obstetric ultrasound.

May 15, 2019

Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital.

May 1, 2019

New evidence on stemming low-value prescribing.

May 1, 2019

Interview

In Conversation With… Susan Haas, MD, MSc

March 1, 2019

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Diagnostic heuristics in dermatology—part 1 and part 2.

February 6, 2019

January 9, 2019

Safety work and risk management as burdens of treatment in primary care: insights from a focused ethnographic study of patients with multimorbidity.

November 14, 2018

Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework.

September 5, 2018

AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.

August 29, 2018

Defining, estimating, and communicating overdiagnosis in cancer screening.

June 27, 2018

The elusive and illusive quest for diagnostic safety metrics.

May 16, 2018

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.

May 9, 2018

WebM&M Cases

Out of Sight, Out of Mind: Out-of-Office Test Result Management

May 1, 2018

The need for closed-loop systems for management of abnormal test results.

April 25, 2018

Diagnostic performance dashboards: tracking diagnostic errors using big data.

April 4, 2018

See More About The Topic

Hospitals

Ambulatory Clinic or Office

Physicians

Facility and Group Administrators

Gynecology

ACOG Committee Opinion #546: tracking and reminder systems.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

ACOG Committee Opinion #546: tracking and reminder systems.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site