Improving patient safety by detecting obstetric care-related adverse events: application of a new screening guide.

PURPOSE: Determining the magnitude and importance of patient safety-related incidents and the effectiveness of measures to improve patient safety (PS) are high-priority goals in efforts to improve the quality of obstetric care. The aim of this study was to evaluate the usefulness of the MRF1-OBST screening guide in detecting adverse events in women who received obstetric care. METHODS: This retrospective cohort study included 244 women who were hospitalized for delivery. All medical records were reviewed with the MRF1-OBST screening guide to identify adverse events and incidents. This tool is a modified form of the MRF1 screening guide regularly used in epidemiological studies of PS, to which we added items developed specifically for obstetric care. We calculated the positive predictive value and compared the ability of the MRF1 and MRF1-OBST guides to detect incidents related to PS in Obstetrics. RESULTS: The MRF1-OBST guide did not identify any additional complications during hospitalization or incidents related to PS that were not also identified by the MRF1 guide. CONCLUSIONS: The MRF1-OBST guide did not improve the detection of obstetric AE. The modified version of the guide required more work to use as a screening aid than the original MRF1 instrument. Efforts to improve the detection of incidents related to PS in obstetrics require complementary tools to be developed for information analysis.

Clasificación radiológica y manejo de las lesiones mamarias / Radiological classification and management of breast lesions

La mamografía es el único método diagnóstico aceptado como técnica de despistaje para el cáncer de mama permitiendo su detección precoz y el único que ha demostrado una reducción de las tasas de mortalidad por cáncer de mama. El sistema Breast Imaging Reporting and Data System (BI-RADS) es un método para clasificar los hallazgos mamográficos que actualmente se considera el idioma universal en el diagnóstico de la patología mamaria. Permite estandarizar la terminología y la sistemática del informe mamográfico y categorizar las lesiones estableciendo el grado de sospecha y asignar la actitud a tomar en cada caso. En esta revisión se analizan los hallazgos mamográficos que configuran cada una de las categorías BIRADS así como las implicaciones pronósticas y forma de manejo más frecuente de cada una de ellas (AU)

Mammography is the only diagnostic method accepted as a screening technique in breast cancer, allowing early detection, and is the only method that has been shown to reduce mortality rates from breast cancer. The Breast Imaging Reporting and Data System (BI-RADS) is a method for classifying mammographic findings and is currently considered a universal language in the diagnosis of breast disease. This system allows terminology to be standardized, mammographic reports to be systematized and lesions to be categorized, thus establishing the degree of suspicion and the approach to be adopted in each case. The present review analyzes the mammographic findings that appear in each of the BI-RADS categories, as well as the prognostic implications and most frequent type of management in each category (AU)