Practice Guidelines for Obstetrics and Gynecology

Karen T. Greene, M.D., F.A.C.O.G.
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The division offers comprehensive assisted reproductive technologies, including in vitro fertilization IVF and embryo transfer, embryo and oocyte cryopreservation, donor oocytes, donor sperm, gestational carriers and fertility preservation for oncology patients. In alone we had nearly women transported to us for tertiary, high risk labor and delivery care. Our department is a founding participant in the Center for Advanced Maternal-Fetal Care, a multidisciplinary group that advises women and their families who have been told that their fetus has a birth defect about the prognosis and care of their fetus, including the prognosis, options for prenatal treatment, and recommending a plan for post-natal treatment.

We also provide genetic counseling services to help our patients identify risks, understand complex medical information, and review available testing and support options. Through our Division of Gynecology and Gynecologic Surgery we offer a variety of special focus clinics that allow us to offer state of the art technology for diagnosis and treatment options, including: abnormal uterine bleeding and menstrual disorders, anatomic abnormalities of the uterus and reproductive tract, endometriosis, pediatric and adolescent gynecology, pelvic pain, uterine fibroids, vulvar and vaginal disorders.

When surgical intervention is required, we offer the full range of traditional and advanced surgical technologies, including robotic-assisted laparoscopy, with a special emphasis on minimally invasive surgical techniques to minimize the impact of surgery. The Department of Obstetrics and Gynecology touts one of the most well respected fellowship programs in minimally invasive gynecologic surgery, one of only about 30 in the country. To date we have graduated 11 fellows from the two-year program. Primarily serving patients out of our Cool Springs Clinic in Franklin, TN, our Division of Female Pelvic Medicine and Reconstructive Surgery is a strong team of faculty focused on evaluating and managing complex female pelvic floor disorders including urinary incontinence, dysfunction voiding, defecatory dysfunction, and pelvic organ prolapse.

They are all board-certified and have completed additional years of subspecialty training in managing pelvic floor dysfunction, including additional training in minimally invasive and robotic surgery techniques. These Advanced Practice Providers see routine, well-woman gynecologic patients in all of our outpatient locations, providing pap smears, contraceptive and menopause care, as well as assisting our gynecologic specialists with management of cancer patients, evaluation and management of bladder issues and evaluation of pre-surgical patients.

They also care for pregnant patients prenatally, manage obstetric triage patients in our Maternal Special Care Unit, and attend normal deliveries at both Vanderbilt and NorthCrest Medical Center. Here in the Department of Obstetrics and Gynecology at Vanderbilt University Medical Center we are committed to the application of evidence-based medicine in the day-to-day practice of our specialty, and to preparing our graduates to be life long learners and leaders. Thank you for coming to our website to learn more about us! Department of Obstetrics and Gynecology.

Gynecology and Gynecologic Surgery Through our Division of Gynecology and Gynecologic Surgery we offer a variety of special focus clinics that allow us to offer state of the art technology for diagnosis and treatment options, including: abnormal uterine bleeding and menstrual disorders, anatomic abnormalities of the uterus and reproductive tract, endometriosis, pediatric and adolescent gynecology, pelvic pain, uterine fibroids, vulvar and vaginal disorders.

Female Pelvic Medicine and Reconstructive Surgery Primarily serving patients out of our Cool Springs Clinic in Franklin, TN, our Division of Female Pelvic Medicine and Reconstructive Surgery is a strong team of faculty focused on evaluating and managing complex female pelvic floor disorders including urinary incontinence, dysfunction voiding, defecatory dysfunction, and pelvic organ prolapse.

Respectfully, Ronald D. A study investigating California patient safety and medical liability data from to analyzed the relationship between changes in the frequency of potential adverse safety events and malpractice claims during that period. The study showed a highly significant correlation between the frequency of adverse events and malpractice claims.

However, the study did recognize that a number of factors influence malpractice claims, including patient—provider communication and the liability climate. Therefore, it is hard to clearly demonstrate that guideline implementation is solely responsible for the relationship between improvement in safety outcomes and a decrease in liability. Nonetheless, the association is very important and improvement in patient safety increases the quality of care provided Obstetrician—gynecologists are committed to continuously improving safety in the care of their patients.

Adverse outcomes often occur because of system deficiencies or inadequate safety measures that fail to prevent error from causing harm.

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Free access to quick-reference Obstetrics and Gynecology guidelines. Find clinical practice guideline summaries for the Obstetrics and Gynecology medical . Find clinical practice guidelines from the American College of Obstetricians and Gynecologists. These official guideline summaries are developed from the.

Standardization is a process to be used to overcome system deficiencies, which with data analysis will decrease or prevent errors or reduce the likelihood of their recurrence. Standardization of practice to improve quality outcomes is an important tool in achieving the inspired shared vision of patients and their health care providers. The responsibility clearly focuses on innovative, empowered, and committed physician leadership. Obstetrician—gynecologists should be familiar with and able to implement the practice recommendations and evidence-based guidelines published by the College.

Continuous quality improvement depends on a disciplined and welldefined data-driven process that constantly is monitored and improved. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent.

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  • Practice Guidelines - Obstetrics & Gynecology - Research Guides at University of Michigan Library.

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National Clinical Guidelines in Obstetrics and Gynaecology

Colleagues and patients have always expressed confidence in my caring, competent clinical and administrative acumen. Am J Obstet Gynecol. However, there is also concern that such a simplistic representation of evidence stating quality as A, B or C might not communicate an accurate enough interpretation of quality Charles et al. WordPress Shortcode. The editor selects peer referees by recommendation of the editorial board members or from the specialist database owned by the editorial board. The Merck Manual of Diagnosis and Therapy is one of the best-selling medical books of all times and has a section dedicated to women's health and Gynecology and Obstetrics.

Gawande A. The checklist manifesto: how to get things right. Cited Here Does standardization of care through clinical guidelines improve outcomes and reduce medical liability? Obstet Gynecol ;—6. Patient safety in obstetrics and gynecology.

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Obstet Gynecol ;—7. Crew resource management and its applications in medicine. In: Agency for Healthcare Research and Quality, editor. Making health care safer: a critical analysis of patient safety practices. Enhancing physician performance: advanced principles of medical management. Berwick DM.

Publications & Guidelines

Health Aff ;— PubMed CrossRef. Grol R. Between evidence-based practice and total quality management: the implementation of cost-effective care. Intl J Qual Health Care ;— Physician clinical performance assessment: prospects and barriers. JAMA ;—9. A surgical safety checklist to reduce morbidity and mortality in a global population.

N Engl J Med ;—9. A framework for improvement. JAMA ;— Intrapartum management of category II fetal heart rate tracings: towards standardization of care. Am J Obstet Gynecol ;— Patient safety in obstetrics—the Hospital Corporation of America experience. Am J Obstet Gynecol. View Full Text PubMed. Legislative interference with the physicianpatient relationship. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet Neonatal Survival Steering Team.

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Lancet ;— Timmermans S, Mauck A. The promises and pitfalls of evidence-based medicine. Medical practice guidelines: separating science from economics.