The Experts below are selected from a list of 261 Experts worldwide ranked by ideXlab platform

May Hsieh Blanchard - One of the best experts on this subject based on the ideXlab platform.

  • the effect of house staff working hours on the quality of obstetric and Gynecologic Care
    Obstetrics & Gynecology, 2004
    Co-Authors: Jennifer L. Bailit, May Hsieh Blanchard
    Abstract:

    OBJECTIVE To measure the effect of house staff working hours reforms on the quality of obstetric and Gynecologic Care. METHODS Sentinel events, medication errors, maternal and neonatal outcomes, and decision making were measured before and after the Accreditation Council of Graduate Medical Education work-hour reforms. Data sources consisted of the perinatal database at MetroHealth Medical Center (Case Western Reserve University, Cleveland, OH), incident reports filed in the hospital department of risk management, the patient-satisfaction database at MetroHealth Medical Center, and the pharmacy medication error database. Two reviewers examined all incident reports separately, and discrepancies were resolved by mutual agreement. RESULTS Patient demographics did not change across the 2 time periods. Obstetric outcomes were the same for third- and fourth-degree lacerations, umbilical arterial pH less than 7, fever, and the need for general anesthesia. Postpartum hemorrhage and neonatal resuscitations were significantly decreased over time (2% before versus 1% after work-hour restrictions [P =.008], and 30% before versus 26% after work-hour restrictions [P <.001], respectively). The rate of primary cesarean delivery rose from 14% to 16%, a nonsignificant difference (P <.06). There were no differences in rates of cesarean delivery for nonreassuring fetal status, failed induction, labor abnormality, or repeat cesarean delivery. Reported medication errors associated with resident performance were too rare for comparison across time periods. The number of incident reports directly involving residents before and after work-hour restrictions were 3 and 10, respectively-too few to reach statistical significance. CONCLUSIONS Although problems in physician performance may be underreported, resident work-hour restrictions show minimal evidence of improvement in quality of Care. LEVEL OF EVIDENCE II-3

  • The effect of house staff working hours on the quality of obstetric and Gynecologic Care.
    Obstetrics and gynecology, 2004
    Co-Authors: Jennifer L. Bailit, May Hsieh Blanchard
    Abstract:

    OBJECTIVE To measure the effect of house staff working hours reforms on the quality of obstetric and Gynecologic Care. METHODS Sentinel events, medication errors, maternal and neonatal outcomes, and decision making were measured before and after the Accreditation Council of Graduate Medical Education work-hour reforms. Data sources consisted of the perinatal database at MetroHealth Medical Center (Case Western Reserve University, Cleveland, OH), incident reports filed in the hospital department of risk management, the patient-satisfaction database at MetroHealth Medical Center, and the pharmacy medication error database. Two reviewers examined all incident reports separately, and discrepancies were resolved by mutual agreement. RESULTS Patient demographics did not change across the 2 time periods. Obstetric outcomes were the same for third- and fourth-degree lacerations, umbilical arterial pH less than 7, fever, and the need for general anesthesia. Postpartum hemorrhage and neonatal resuscitations were significantly decreased over time (2% before versus 1% after work-hour restrictions [P =.008], and 30% before versus 26% after work-hour restrictions [P

Jennifer L. Bailit - One of the best experts on this subject based on the ideXlab platform.

  • the effect of house staff working hours on the quality of obstetric and Gynecologic Care
    Obstetrics & Gynecology, 2004
    Co-Authors: Jennifer L. Bailit, May Hsieh Blanchard
    Abstract:

    OBJECTIVE To measure the effect of house staff working hours reforms on the quality of obstetric and Gynecologic Care. METHODS Sentinel events, medication errors, maternal and neonatal outcomes, and decision making were measured before and after the Accreditation Council of Graduate Medical Education work-hour reforms. Data sources consisted of the perinatal database at MetroHealth Medical Center (Case Western Reserve University, Cleveland, OH), incident reports filed in the hospital department of risk management, the patient-satisfaction database at MetroHealth Medical Center, and the pharmacy medication error database. Two reviewers examined all incident reports separately, and discrepancies were resolved by mutual agreement. RESULTS Patient demographics did not change across the 2 time periods. Obstetric outcomes were the same for third- and fourth-degree lacerations, umbilical arterial pH less than 7, fever, and the need for general anesthesia. Postpartum hemorrhage and neonatal resuscitations were significantly decreased over time (2% before versus 1% after work-hour restrictions [P =.008], and 30% before versus 26% after work-hour restrictions [P <.001], respectively). The rate of primary cesarean delivery rose from 14% to 16%, a nonsignificant difference (P <.06). There were no differences in rates of cesarean delivery for nonreassuring fetal status, failed induction, labor abnormality, or repeat cesarean delivery. Reported medication errors associated with resident performance were too rare for comparison across time periods. The number of incident reports directly involving residents before and after work-hour restrictions were 3 and 10, respectively-too few to reach statistical significance. CONCLUSIONS Although problems in physician performance may be underreported, resident work-hour restrictions show minimal evidence of improvement in quality of Care. LEVEL OF EVIDENCE II-3

  • The effect of house staff working hours on the quality of obstetric and Gynecologic Care.
    Obstetrics and gynecology, 2004
    Co-Authors: Jennifer L. Bailit, May Hsieh Blanchard
    Abstract:

    OBJECTIVE To measure the effect of house staff working hours reforms on the quality of obstetric and Gynecologic Care. METHODS Sentinel events, medication errors, maternal and neonatal outcomes, and decision making were measured before and after the Accreditation Council of Graduate Medical Education work-hour reforms. Data sources consisted of the perinatal database at MetroHealth Medical Center (Case Western Reserve University, Cleveland, OH), incident reports filed in the hospital department of risk management, the patient-satisfaction database at MetroHealth Medical Center, and the pharmacy medication error database. Two reviewers examined all incident reports separately, and discrepancies were resolved by mutual agreement. RESULTS Patient demographics did not change across the 2 time periods. Obstetric outcomes were the same for third- and fourth-degree lacerations, umbilical arterial pH less than 7, fever, and the need for general anesthesia. Postpartum hemorrhage and neonatal resuscitations were significantly decreased over time (2% before versus 1% after work-hour restrictions [P =.008], and 30% before versus 26% after work-hour restrictions [P

Gunther Kindermann - One of the best experts on this subject based on the ideXlab platform.

  • Prevalence of sexual abuse among women seeking Gynecologic Care in Germany
    Obstetrics and gynecology, 2003
    Co-Authors: Ursula M. Peschers, Janice Du Mont, Katharina Jundt, Mona Pfurtner, Elizabeth Dugan, Gunther Kindermann
    Abstract:

    Abstract OBJECTIVE: To estimate the prevalence of sexual abuse among patients seen for Gynecologic Care in Germany. METHODS: A short anonymous questionnaire was distributed to 1157 women attending a Gynecologic outpatient clinic at a large urban teaching hospital. Data collected using the questionnaire included patient characteristics, sexual abuse history, and screening practices. Women who reported that they had been abused were asked if they had ever discussed the issue with their gynecologist. RESULTS: A total of 1075 questionnaires were returned, for a response rate of 92.9%. Almost half (n = 479 [44.6%]) of the women surveyed reported that they had been the subject of unwanted sexual attention. One fifth (n = 216 [20.1%]) had been forced to engage in sexual activities: 6.8% in childhood, 10.3% during adolescence, 6.4% as an adult, and 3.5% across more than one stage. Thirteen women (6%) reported having discussed the abuse with their gynecologist. Sixty-six (30.5%) were too afraid to raise the issue, and 119 (55.1%) stated it was not relevant to their Care. Only one woman (0.5%) reported that her gynecologist had asked about sexual abuse. CONCLUSION: Despite the high prevalence of sexual abuse among women seeking Gynecologic Care, routine screening does not appear to be part of standardized practice.

Pamela Stratton - One of the best experts on this subject based on the ideXlab platform.

Ursula M. Peschers - One of the best experts on this subject based on the ideXlab platform.

  • Prevalence of sexual abuse among women seeking Gynecologic Care in Germany
    Obstetrics and gynecology, 2003
    Co-Authors: Ursula M. Peschers, Janice Du Mont, Katharina Jundt, Mona Pfurtner, Elizabeth Dugan, Gunther Kindermann
    Abstract:

    Abstract OBJECTIVE: To estimate the prevalence of sexual abuse among patients seen for Gynecologic Care in Germany. METHODS: A short anonymous questionnaire was distributed to 1157 women attending a Gynecologic outpatient clinic at a large urban teaching hospital. Data collected using the questionnaire included patient characteristics, sexual abuse history, and screening practices. Women who reported that they had been abused were asked if they had ever discussed the issue with their gynecologist. RESULTS: A total of 1075 questionnaires were returned, for a response rate of 92.9%. Almost half (n = 479 [44.6%]) of the women surveyed reported that they had been the subject of unwanted sexual attention. One fifth (n = 216 [20.1%]) had been forced to engage in sexual activities: 6.8% in childhood, 10.3% during adolescence, 6.4% as an adult, and 3.5% across more than one stage. Thirteen women (6%) reported having discussed the abuse with their gynecologist. Sixty-six (30.5%) were too afraid to raise the issue, and 119 (55.1%) stated it was not relevant to their Care. Only one woman (0.5%) reported that her gynecologist had asked about sexual abuse. CONCLUSION: Despite the high prevalence of sexual abuse among women seeking Gynecologic Care, routine screening does not appear to be part of standardized practice.