• editor@ijmra.in
  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

VOLUME 06 ISSUE 06 JUNE 2023

Risk Reduction to Increase the Safety of Processes in the Obstetric Structure
Svetlana Radeva
Medical University of Varna - Faculty of Public Health Specialized hospital of obstetrics and gynecology for active treatment – Varna, Bulgaria
DOI : https://doi.org/10.47191/ijmra/v6-i6-56

Google Scholar Download Pdf
ABSTRACT:

The definition of risk in the obstetric structure and its impact on a particular health phenomenon determines the model of work aimed at increasing safety for patients and staff. Preventable events are used as a measure of problems in different sectors, in the organization of work, which also determines the behavior of managers from different hierarchical levels. These are events that would not have happened if there were no strong exposure to a factor or gaps in standard health interventions in obstetric care.
Methods: a survey was conducted among medical persons in obstetric structures of the city of Varna. The data is processed using statistical software. Results and discussion: significant results relevant to the definition of risks in obstetric practice have been identified. Proper management of risk situations requires an impact on the causes of complications, which increases the quality of the medical service and ensures patient safety. More than 80% of the risks are determined by acute complications during pregnancy and childbirth, by the urgency and time to manage them.
Conclusion: obstetric care requires a continuous audit of the activities, structure and resources and the application of written rules for all possible and rare situations, consistent with the established guidelines and rules of Conduct, which ensure patient safety and workplace safety for employees, in accordance with the legal framework defining medical practice.

KEYWORDS:

risk, obstetrics, responsibilities, audit, quality.

REFERENCES

1) Committee of Sponsoring Organisations of the Treadway Commission (COSO). Risk management of organizations: integrated framework of the committee of sponsoring organizations of the American „Treadway“ Commission.ISO 31000,

2) European Commission (2007–2013 г). Guidance on prevention and good practices. Health and safety risks in the health sector.

3) Federation of European Risk Management Associations (FERMA, 2020-2021). Standard of risk management of the Federation of European risk management associations.

4) ISO 31000:2009, Risk management – Principles and guidelines.

5) Committed to Exxelence.- Working Together. Facing the Future – Frimley health, NHS Foundation trust. Maternity Risk Management Strategy 2018 – 2021, October 18

6) ISO 31010, Risk management – Risk assessment techniques (ISO/IEC 31010:2009).

7) WHO Topic 6: Understanding and managing clinical risk - Patient Safety Curriculum Guide.

8) Kulikova E. (2008). Risk management: an innovative aspect. Berator Publishing.

9) Aktionabundnis Patientensicherheit. Recommendation: Requirements on Clinical Risk Management Systems in Hospitals. First English version: February 2017 ` DOI: 10.21960/201707/E

10) Donaldson L, Ricciardi W, Sheridan S, et al. (2021). Textbook of Patient Safety and Clinical Risk Management, editors.Cham (CH); Springer.

11) Maslovitz S, Barkai G, Lessing JB, et al. Recurrent obstetric management mistakes identified by simulation. Obstet Gynecol. 2007;109:1295–300. [PubMed].

12) NHS Litigation Authority. Clinical negligence scheme for trusts maternity clinical risk management standards 2012-13. Managing risk DNV. 2012.

13) RCOG, Clinical Governance Advice. Improving patient safety: Risk management for maternity and gynaecology, no. 2. 2005.

14) Lippke Sonia, J. Wienert, F. M. Keller, C. Derksen, A. Welp, L. Kötting, K. Hofreuter-Gätgens, H. Müller, F. Louwen, M. Weigand, K. Ernst, K. Kraft, F. Reister, A. Polasik, B. Seemann, L. Jennewein, C. Scholz & A. Hannawa. Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study. BMC Health Services Research, 2019: 19:908 https://doi.org/10.1186/s12913-019-4579-y

15) Petrova Z., K. Chamov, S. Gladilov (2008). Quality in healthcare. Modern dimensions and trends. Health Media Group, Sofia.

16) Pettker CM. Systematic approaches to adverse events in obstetrics, part I: event identification and classification. Semin Perinatol. 2017;41:151–5. [PubMed] [CrossRef].

17) Pronovost PJ, Holzmuller CG, Ennen CS, Fox HE. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204:5–10. [PubMed] [CrossRef].

18) Sholomitsky, A.(2005). Risk theory. Choice under uncertainty and risk Modeling, Publishing House of the Higher School of Economics.

VOLUME 06 ISSUE 06 JUNE 2023

There is an Open Access article, distributed under the term of the Creative Commons Attribution – Non Commercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/), which permits remixing, adapting and building upon the work for non-commercial use, provided the original work is properly cited.


Our Services and Policies

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not conform to the format and style of the Journal may be returned to the authors for revision or rejected.

The Journal reserves the right to make any further formal changes and language corrections necessary in a manuscript accepted for publication so that it conforms to the formatting requirements of the Journal.

International Journal of Multidisciplinary Research and Analysis will publish 12 monthly online issues per year,IJMRA publishes articles as soon as the final copy-edited version is approved. IJMRA publishes articles and review papers of all subjects area.

Open access is a mechanism by which research outputs are distributed online, Hybrid open access journals, contain a mixture of open access articles and closed access articles.

International Journal of Multidisciplinary Research and Analysis initiate a call for research paper for Volume 07 Issue 05 (May 2024).

PUBLICATION DATES:
1) Last Date of Submission : 26 May 2024 .
2) Article published within a week.
3) Submit Article : editor@ijmra.in or Online

Why with us

International Journal of Multidisciplinary Research and Analysis is better then other journals because:-
1 : IJMRA only accepts original and high quality research and technical papers.
2 : Paper will publish immediately in current issue after registration.
3 : Authors can download their full papers at any time with digital certificate.

The Editors reserve the right to reject papers without sending them out for review.

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not conform to the format and style of the Journal may be returned to the authors for revision or rejected. The Journal reserves the right to make any further formal changes and language corrections necessary in a manuscript accepted for publication so that it conforms to the formatting requirements of the Journal.

Indexed In
Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar Avatar