| Autor: |
Klemann D; Department of Gynaecology and Obstetrics, Maastricht University Medical Centre+, 6229 HX Maastricht, The Netherlands.; Care and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands., Rijkx M; Department of Plastic, Reconstructive and Hand Surgery, Maastricht University Medical Centre+, Maastricht University, 6229 HX Maastricht, The Netherlands., Mertens H; Executive Board, Maastricht University Medical Centre+, Maastricht University, 6229 HX Maastricht, The Netherlands., van Merode F; Care and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.; Maastricht University Medical Centre+, Maastricht University, 6229 HX Maastricht, The Netherlands., Klein D; Care and Public Health Research Institute, Maastricht University, 6200 MD Maastricht, The Netherlands.; Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+, 6228 HX Maastricht, The Netherlands. |
| Abstrakt: |
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. |
