TAILIEUCHUNG - Patient Safety in Obstetrics and Gynecology

With international funding, Dr. Mocumbi has already seen national lead- ership in pockets of Africa come together to refine strategies to improve health, and with local ingenuity, he avers, much more is possible. For example, an effort to train non–physicians to deliver care has the potential, Dr. Mocumbi believes, to help plug a gaping and deleterious hole in human resources capacity. Nurses with more than five years of experience and medical assistants with more than three years of experience, with additional train- ing, will be able to dramatically increase the medical and surgical services offered to those in need in Mozambique. It’s a tall order, but with ingenuity, partnership and adherence to what Dr. Pascoal. | Current Commentaries Patient Safety in Obstetrics and Gynecology An Agenda for the Future Mark D. Pearlman MD The effect of medical errors and unsafe systems of care has had a profound effect on the practice of obstetrics and gynecology. From 1975 to 2000 medical malpractice costs for obstetrician-gynecologists have risen nearly four-fold higher than that of other medical costs. In addition it has been estimated that defensive medicine may cost society 80 billion per year. Most importantly many obstetrician- gynecologists are frustrated and seem to be abandoning the parts of their practice they perceive to put them at higher liability risk. This article discusses other medical specialty society efforts that have been successful in addressing the area of patient safety. Efforts to better track quality outcomes has been initiated by the American College of Surgeons through the National Surgical Quality Improvement Project and the American Society of Anesthesiologists has demonstrated both dramatically improved outcomes and reduced liability costs through a concerted patient safety effort. The author proposes See related article on page 1058. From the Department of Obstetrics and Gynecology the University of Michigan Medical School Ann Arbor Michigan. An earlier version of this essay was presented as the John Figgis Jewett Lecture of the Massachusetts Medical Society on July 20 2005. Corresponding author Dr. Mark D. Pearlman 1500 E Medical Center Drive L4000 Women s Hospital Ann Arbor MI 48109-0276 e-mail Pearlman@. 2006 by The American College of Obstetricians and Gynecologists. Published by Lippincott Williams Wilkins. ISSN 0029-7844 06 changes in four areas to specifically address patient safety in obstetrics and gynecology including the development of reliable and reproducible quality control measures and a system to track them national closed claim reviews to better understand and address the most important safety and liability areas for .

• Sức khỏe phụ nữ
• Medical Therapy
• Current Status
• Future Targets
• Temporal Trends
• Current Perspectives
• Future Trends
• medical research
• therapeutic
• pharmaceutical
• scientific reports
• Optimal Medical Therapy
• without PCI
• Stable Coronary Disease
• Massage therapy review
• Lecture Massage therapy review
• Bodywork assessment
• Massage therapy
• Medical terminology
• Modes of disease transmission
• statements and documents scientific reports
• medical reports
• medical knowledge
• health care
• clinical trials
• medical management
• Physical therapy
• Principles of thermotherapy
• Medical assisting
• Clinical procedures
• Administrative medical assisting
• Clinical medical assisting
• Nuclear engineering and technology
• The medical staff effective dose during boron neutron capture therapy
• Two high resolution voxel based whole body phantoms
• ICRP 110 Voxel based Phantom
• MCNP4C Monte Carlo Code
• Abstract of medical PHD thesis
• The hemodynamic effect
• Intra aortic balloon pump counterpulsation
• Therapy in patients
• Cardiogenic shock after myocardial infarction
• BMC Pulmonary medicine
• Chronic obstructive pulmonary disease
• Initial maintenance therapy
• Medication adherence
• Medical costs
• Handbook of Couples Therapy
• Couples Therapy
• health education
• health knowledge
• health
• BMC Musculoskeletal Disorders
• Temporomandibular disorders
• Myofascial pain syndrome
• Randomized controlled trial
• Stepped care
• Medical decision
• Glycemic variability
• Macrovascular and microvascular complications
• Automatic snacking
• Intensive insulin therapy
• Type 2 diabetes mellitus
• health policy
• pathology
• anatomy
• Patient assessment
• Administering cryotherapy
• Lecture Medical assisting
• Clinical competencies
• Administrative competencies
• Medical image analysis
• Computer aided diagnosis
• FLAIR magnetic resonance imaging
• Realistic lesion insertion
• Medical data augmentation
• Diffuse lung diseases
• Tomosynthesis imaging
• Spinal abnormalities
• Health informatics
• Medical microwave imaging
• Administrative practices
• Clinical practices
• Medical assisting practice
• Medication administration
• Medication routes
• Hydrotherapy methods
• psychophysiological
• medical health
• Quick Reference Dictionary for Massage
• Pharmacology
• Drug Therapy