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2.
J Midwifery Womens Health ; 62(2): 232-239, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28384395

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary work group to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Trastornos de Ansiedad/terapia , Ansiedad/terapia , Depresión/terapia , Complicaciones del Embarazo/psicología , Trastorno Depresivo/terapia , Femenino , Humanos , Embarazo
3.
Obstet Gynecol ; 129(4): 603-607, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28277367

RESUMEN

Effective care coordination across the women's health continuum is critically important. Unlike obstetric care, which tends to be more episodic and limited to pregnant and postpartum women, women receive health care, whether around pregnancy or for nonobstetric issues, in a variety of care settings by members of multiple health disciplines. Having access to standardized clinical data is imperative to providing optimal patient care. The reVITALize Gynecology Data Definitions Initiative leads a national multidisciplinary movement to offer standard gynecologic data definitions for use in written and verbal clinical communication, electronic health record data capture, quality improvement, and clinical research.


Asunto(s)
Recolección de Datos , Comunicación Interdisciplinaria , Servicios de Salud para Mujeres , Salud de la Mujer/normas , Vías Clínicas/normas , Recolección de Datos/métodos , Recolección de Datos/normas , Registros Electrónicos de Salud/organización & administración , Registros Electrónicos de Salud/normas , Investigación Empírica , Femenino , Humanos , Embarazo , Mejoramiento de la Calidad , Estados Unidos , Servicios de Salud para Mujeres/organización & administración , Servicios de Salud para Mujeres/normas
4.
AANA J ; 85(1): 1-12, 2017 Feb 06.
Artículo en Inglés | MEDLINE | ID: mdl-28182855

RESUMEN

Surgical site infections are the most common complication of surgery in the United states. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effot to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos , Seguridad del Paciente/normas , Infección de la Herida Quirúrgica/prevención & control , Consenso , Femenino , Humanos
5.
Obstet Gynecol ; 129(3): 422-430, 2017 03.
Artículo en Inglés | MEDLINE | ID: mdl-28178041

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary workgroup to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Ansiedad/diagnóstico , Ansiedad/terapia , Depresión/diagnóstico , Depresión/terapia , Obstetricia , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/terapia , Ansiedad/psicología , Protocolos Clínicos , Consenso , Continuidad de la Atención al Paciente , Depresión/psicología , Medicina Basada en la Evidencia , Femenino , Humanos , Tamizaje Masivo , Anamnesis , Obstetricia/métodos , Obstetricia/organización & administración , Educación del Paciente como Asunto , Atención Perinatal/normas , Guías de Práctica Clínica como Asunto , Embarazo , Complicaciones del Embarazo/psicología , Escalas de Valoración Psiquiátrica , Derivación y Consulta
6.
J Obstet Gynecol Neonatal Nurs ; 46(2): 272-281, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28190757

RESUMEN

Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue. In 2015, the Council on Patient Safety in Women's Health Care convened an interdisciplinary workgroup to develop an evidence-based patient safety bundle to address maternal mental health. The focus of this bundle is perinatal mood and anxiety disorders. The bundle is modeled after other bundles released by the Council on Patient Safety in Women's Health Care and provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. This commentary provides information to assist with bundle implementation.


Asunto(s)
Ansiedad , Depresión , Salud Materna/normas , Salud Mental/normas , Complicaciones del Embarazo , Ansiedad/diagnóstico , Ansiedad/prevención & control , Consenso , Depresión/diagnóstico , Depresión/prevención & control , Práctica Clínica Basada en la Evidencia/métodos , Práctica Clínica Basada en la Evidencia/organización & administración , Femenino , Humanos , Tamizaje Masivo/organización & administración , Embarazo , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/prevención & control , Complicaciones del Embarazo/psicología , Mejoramiento de la Calidad
7.
J Obstet Gynecol Neonatal Nurs ; 46(1): 100-113, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-27955845

RESUMEN

Surgical site infections are the most common complications of surgery in the United States. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effort to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Control de Infecciones/métodos , Infección de la Herida Quirúrgica/prevención & control , Humanos , Hemorragia Posparto/prevención & control , Estados Unidos
8.
Obstet Gynecol ; 129(1): 50-61, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27926634

RESUMEN

Surgical site infections are the most common complication of surgery in the United States. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effort to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.


Asunto(s)
Antibacterianos/uso terapéutico , Profilaxis Antibiótica , Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Procedimientos Quirúrgicos Ginecológicos/normas , Rol Profesional , Infección de la Herida Quirúrgica/prevención & control , Antiinfecciosos Locales/uso terapéutico , Temperatura Corporal , Consenso , Recolección de Datos , Femenino , Humanos , Cultura Organizacional , Política Organizacional , Grupo de Atención al Paciente , Educación del Paciente como Asunto , Cuidados Posoperatorios , Guías de Práctica Clínica como Asunto , Medición de Riesgo
9.
Anesth Analg ; 124(1): 233-242, 2017 01.
Artículo en Inglés | MEDLINE | ID: mdl-27918335

RESUMEN

Surgical site infections are the most common complication of surgery in the United States. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effort to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/normas , Control de Infecciones/normas , Paquetes de Atención al Paciente/normas , Infección de la Herida Quirúrgica/prevención & control , Antibacterianos/administración & dosificación , Profilaxis Antibiótica/normas , Actitud del Personal de Salud , Competencia Clínica/normas , Consenso , Conducta Cooperativa , Femenino , Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Conocimientos, Actitudes y Práctica en Salud , Humanos , Comunicación Interdisciplinaria , Grupo de Atención al Paciente/normas , Cuidados Preoperatorios/normas , Medición de Riesgo , Factores de Riesgo , Infección de la Herida Quirúrgica/diagnóstico , Infección de la Herida Quirúrgica/microbiología , Resultado del Tratamiento
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