Clinical obstetrics and gynecology
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The use of simulation-based methods for clinical and team training provides an opportunity for health care professionals to develop and maintain the skills required to effectively manage patient care. This is especially true for those rare events when emergency interventions require urgent, accurate, and cohesive team functioning. We present a framework for considering simulation-based training, examine contextual factors and the outcomes of research conducted to date in this area, and provide suggestions for selecting simulation-based approaches for developing obstetrics and gynecology teams in multiple contexts.
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Clin Obstet Gynecol · Sep 2010
ReviewRole of clinician involvement in patient safety in obstetrics and gynecology.
Patient safety is a significant concern for healthcare providers. Involving physicians in clinical quality activities in obstetrics and gynecology can be difficult for many reasons including time demands, lack of knowledge of process improvement activities, or change fatigue due to failure of adequate implementation of previous activities. This overview for improving the culture of safety identifies roles physicians can play from participating in quality assessment and improvement activities, improving teamwork between disciplines, communicating effectively, creating departmental guidelines, and deciding on outcome measures for benchmarking. An improved culture of safety is better for our patients and may reduce malpractice exposure.
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Clin Obstet Gynecol · Sep 2010
Integrating risk management activities into a patient safety program.
A departmental culture that encourages continuous quality care and honest, critical introspection is pivotal to patient safety. Risk management enriches departmental quality efforts, providing evidence-based direction and flag vulnerabilities. Quality leaders should establish a close relationship with risk management, be aware of the risk management resources available, and communicate clear expectations for staff and risk management personnel for the collection and use of information acquired by risk management relating to near misses, unexpected outcomes, and medical errors. Integrating risk management resources into department-wide patient safety program can result in higher quality patient care, safer departmental staff, and lower risk.