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Causes for Medical Errors in Obstetrics and Gynaecology

Background: Quality strategies, interventions, and frameworks have been developed to facilitate a better understanding of healthcare systems. Reporting adverse events is one of these strategies. Gynaecology and obstetrics are one of the specialties with many adverse events. To understand the main ca...

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Autores principales: Klemann, Désirée, Rijkx, Maud, Mertens, Helen, van Merode, Frits, Klein, Dorthe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253036/
https://www.ncbi.nlm.nih.gov/pubmed/37297775
http://dx.doi.org/10.3390/healthcare11111636
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author Klemann, Désirée
Rijkx, Maud
Mertens, Helen
van Merode, Frits
Klein, Dorthe
author_facet Klemann, Désirée
Rijkx, Maud
Mertens, Helen
van Merode, Frits
Klein, Dorthe
author_sort Klemann, Désirée
collection PubMed
description Background: Quality strategies, interventions, and frameworks have been developed to facilitate a better understanding of healthcare systems. Reporting adverse events is one of these strategies. Gynaecology and obstetrics are one of the specialties with many adverse events. To understand the main causes of medical errors in gynaecology and obstetrics and how they could be prevented, we conducted this systematic review. Methods: This systematic review was performed in compliance with the Prisma 2020 guidelines. We searched several databases for relevant studies (Jan 2010–May 2023). Studies were included if they indicated the presence of any potential risk factor at the hospital level for medical errors or adverse events in gynaecology or obstetrics. Results: We included 26 articles in the quantitative analysis of this review. Most of these (n = 12) are cross-sectional studies; eight are case–control studies, and six are cohort studies. One of the most frequently reported contributing factors is delay in healthcare. In addition, the availability of products and trained staff, team training, and communication are often reported to contribute to near-misses/maternal deaths. Conclusions: All risk factors that were found in our review imply several categories of contributing factors regarding: (1) delay of care, (2) coordination and management of care, and (3) scarcity of supply, personnel, and knowledge.
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spelling pubmed-102530362023-06-10 Causes for Medical Errors in Obstetrics and Gynaecology Klemann, Désirée Rijkx, Maud Mertens, Helen van Merode, Frits Klein, Dorthe Healthcare (Basel) Systematic Review Background: Quality strategies, interventions, and frameworks have been developed to facilitate a better understanding of healthcare systems. Reporting adverse events is one of these strategies. Gynaecology and obstetrics are one of the specialties with many adverse events. To understand the main causes of medical errors in gynaecology and obstetrics and how they could be prevented, we conducted this systematic review. Methods: This systematic review was performed in compliance with the Prisma 2020 guidelines. We searched several databases for relevant studies (Jan 2010–May 2023). Studies were included if they indicated the presence of any potential risk factor at the hospital level for medical errors or adverse events in gynaecology or obstetrics. Results: We included 26 articles in the quantitative analysis of this review. Most of these (n = 12) are cross-sectional studies; eight are case–control studies, and six are cohort studies. One of the most frequently reported contributing factors is delay in healthcare. In addition, the availability of products and trained staff, team training, and communication are often reported to contribute to near-misses/maternal deaths. Conclusions: All risk factors that were found in our review imply several categories of contributing factors regarding: (1) delay of care, (2) coordination and management of care, and (3) scarcity of supply, personnel, and knowledge. MDPI 2023-06-02 /pmc/articles/PMC10253036/ /pubmed/37297775 http://dx.doi.org/10.3390/healthcare11111636 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Klemann, Désirée
Rijkx, Maud
Mertens, Helen
van Merode, Frits
Klein, Dorthe
Causes for Medical Errors in Obstetrics and Gynaecology
title Causes for Medical Errors in Obstetrics and Gynaecology
title_full Causes for Medical Errors in Obstetrics and Gynaecology
title_fullStr Causes for Medical Errors in Obstetrics and Gynaecology
title_full_unstemmed Causes for Medical Errors in Obstetrics and Gynaecology
title_short Causes for Medical Errors in Obstetrics and Gynaecology
title_sort causes for medical errors in obstetrics and gynaecology
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253036/
https://www.ncbi.nlm.nih.gov/pubmed/37297775
http://dx.doi.org/10.3390/healthcare11111636
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