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The Use and Development of Checklists in Obstetrics and Gynecology

Committee Opinion Number 680, November 2016

ABSTRACT Checklists are used in medical and nonmedical settings as cognitive aids to ensure that users complete all the items associated with a particular task They are ideal for tasks with many steps for tasks performed under stressful circumstances or for reminding people to perform tasks that t...

November 2016

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Health Literacy to Promote Quality of Care

Committee Opinion Number 676, October 2016

(Replaces Committee Opinion Number 585, February 2014)

ABSTRACT Health literacy is defined as the degree to which individuals have the capacity to obtain process and understand the basic health information and services they need to make appropriate health decisions Multiple factors affect a patients understanding of health information including cultur...

October 2016

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Guiding Principles for Privileging of Innovative Procedures in Gynecologic Surgery

Committee Opinion Number 674, September 2016

ABSTRACT New or emerging surgical procedures and technologies continue to be developed at a rapid rate and must be implemented safely into clinical practice Additional privileging may be required if substantively new technical or cognitive skills are required to implement an innovative procedure o...

September 2016

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The Obstetric and Gynecologic Hospitalist

Committee Opinion Number 657, February 2016

(Replaces Committee Opinion Number 459, July 2010)

ABSTRACT The term hospitalist refers to physicians whose primary professional focus is the general medical care of hospitalized patients Their activities may include patient care teaching research and inpatient leadership The American College of Obstetricians and Gynecologists supports the continu...

February 2016

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Guidelines for Diagnostic Imaging During Pregnancy and Lactation

Committee Opinion Number 656, February 2016

(Replaces Committee Opinion Number 299, September 2004)

ABSTRACT Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions However confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessar...

February 2016

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The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist

Committee Opinion Number 639, September 2015

ABSTRACT Information from vital records is critical to identify and quantify healthrelated issues and to measure progress toward quality improvement and public health goals In particular maternal and infant mortality serve as important indicators of the nations health thereby influencing policy de...

September 2015

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Clinical Guidelines and Standardization of Practice to Improve Outcomes

Committee Opinion Number 629, April 2015

(Replaces Committee Opinion 526, May 2012)

ABSTRACT Protocols and checklists have been shown to reduce patient harm through improved standardization and communication Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions However...

April 2015

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Professional Use of Digital and Social Media

Committee Opinion Number 622, February 2015

ABSTRACT Digital and social media quickly are becoming universal in modern medical practice Data sharing online reviews and ratings and digital privacy concerns likely will become a part of most every physicians practice regardless of his or her use of social media The widespread use of social med...

February 2015

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Patient Safety and Health Information Technology

Committee Opinion Number 621, January 2015

(Replaces Committee Opinion Number 472, November 2010)

ABSTRACT The advantages of health information technology IT include facilitating communication between health care providers improving medication safety tracking and reporting and promoting quality of care through optimized access to and adherence to guidelines Health IT systems permit the collect...

January 2015

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Preparing for Clinical Emergencies in Obstetrics and Gynecology

Committee Opinion Number 590, March 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 487, April 2011)

ABSTRACT Patient care emergencies may occur at any time in any setting particularly the inpatient setting It is important that obstetriciangynecologists prepare themselves by assessing potential emergencies establishing early warning systems designating specialized first responders conducting emer...

March 2014

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Effective Patient–Physician Communication

Committee Opinion Number 587, February 2014

(Reaffirmed 2016. Replaces Committee Opinion Number 492, May 2011)

ABSTRACT Physicians ability to effectively and compassionately communicate information is key to a successful patientphysician relationship The current health care environment demands increasing clinical productivity and affords less time with each patient which can impede effective patientphysici...

February 2014

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Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

Committee Opinion Number 555, March 2013

ABSTRACT Numerous occurrences in the past decade have brought the issue of disaster preparedness and specifically hospital preparedness to the national forefront Much of the work in this area has focused on large hospital system preparedness for various disaster scenarios Many unique features of t...

March 2013

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Tracking and Reminder Systems

Committee Opinion Number 546, December 2012

(Reaffirmed 2016. Replaces No. 461, August 2010)

ABSTRACT An accurate and effective tracking or reminder system is useful for the modern practice of obstetrics and gynecology Practices should not rely solely on the patient to complete all ordered studies and to follow up on health care provider recommendations Health care providers should encour...

December 2012

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Disclosure and Discussion of Adverse Events

Committee Opinion Number 520, March 2012

(Replaces No. 380, October 2007, Reaffirmed 2014)

ABSTRACT Disclosure and discussion of adverse events in health care with the patient are morally and ethically necessary to achieve the optimal goal of respecting patient autonomy Improving the disclosure process through education policies programmatic training and accessible resources will enhanc...

March 2012

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Fatigue and Patient Safety

Committee Opinion Number 519, March 2012

(Reaffirmed 2013, Replaces No. 398, February 2008)

ABSTRACT It has long been recognized that fatigue can affect human cognitive and physical function Although there are limited published data on the effects of fatigue on health care providers including fulltime practicing physicians there is increasing awareness within the patient safety movement ...

March 2012

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Communication Strategies for Patient Handoffs

Committee Opinion Number 517, February 2012

(Reaffirmed 2016. Replaces No. 367, June 2007)

ABSTRACT Handoff communication which includes uptodate information regarding patient care treatment and service condition and any recent or anticipated changes should be interactive to allow for discussion between those who give and receive patient information It requires a process for verificatio...

February 2012

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Disruptive Behavior

Committee Opinion Number 508, October 2011

(Reaffirmed 2013, Replaces No. 366, May 2007)

ABSTRACT Disruptive physician behavior may have a negative effect on patient care Consequently it is important that a systematic process be in place to discourage identify and remedy episodes of disruptive behavior Introduction A growing number of organizations recognize that disruptive behavior m...

October 2011

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Partnering With Patients to Improve Safety

Committee Opinion Number 490, May 2011

(Reaffirmed 2013, Replaces No. 320, November 2005)

Abstract Actively involving patients in the planning of health services is recommended as a means of improving the quality of care This can increase patient engagement and reduce risk resulting in improved outcomes satisfaction and treatment adherence Introduction The foundation for a positive phy...

May 2011

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Empathy in Womens Health Care

Committee Opinion Number 480, March 2011

(Reaffirmed 2014)

ABSTRACT Empathy is the process through which one attempts to project oneself into anothers life and imagine a situation from his or her point of view Most individuals do have an innate capacity to show empathy toward others Empathy is as important to being a good physician as technical competence...

March 2011

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Patient Safety in the Surgical Environment

Committee Opinion Number 464, September 2010

(Replaces No. 328, February 2006, Reaffirmed 2014)

ABSTRACT Ensuring patient safety in the operating room begins before the patient enters the operative suite and includes attention to all applicable types of preventable medical errors including for example medication errors but surgical errors are unique to this environment Steps to prevent wrong...

September 2010

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