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Semin Reprod Med 2012; 30(03): 167-172
DOI: 10.1055/s-0032-1311518
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Safety, Efficacy, and Complexities in ART Practice: Physician Commentary

William F. Gibbons
1   Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas
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Publication History

Publication Date:
14 May 2012 (online)

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Abstract

There are few patient care processes for which a team approach is more important than for assisted reproduction. Close, continuous communication is required at many levels among physicians, nursing staff, therapists, the various laboratories, and patients. Quality of care is associated with the reduction of medical errors through processes of risk management, mechanisms to allow the safe evolution of assisted reproductive technology care within the clinic, and how clinics ethically communicate with team members and with patients through informed consent and direct and honest interaction.

Keywords

assisted reproduction - IVF - medical errors - risk management - informed consent
 

  • References

  • 1 Ethics Committee of the American Society for Reproductive Medicine. Disclosure of medical errors involving gametes and embryos. Fertil Steril 2006; 86 (3) 513-515
    CrossrefPubMedGoogle Scholar
  • 2 Texas Civil Practice and Remedies Code. Ann 18.061, 1999;
    PubMedGoogle Scholar
  • 3 Wei M. Doctors, apologies, and the law: an analysis and critique of apology laws. J Health Law 2007; 40 (1) 107-159
    PubMedGoogle Scholar
  • 4 Kizer KW. Patient centred care: essential but probably not sufficient. Qual Saf Health Care 2002; 11 (2) 117-118
    CrossrefPubMedGoogle Scholar
  • 5 Raper VUK. IVF errors treble in three years. BioNews 621, August 8, 2011. Available at: www.bionews.org.uk
    PubMedGoogle Scholar
  • 6 Kennedy CR, Mortimer D. Risk management in IVF. Best Pract Res Clin Obstet Gynaecol 2007; 21 (4) 691-712
    CrossrefPubMedGoogle Scholar
  • 7 Mortimer D, Mortimer ST. Quality and Risk Management in the IVF Laboratory. Cambridge, UK: Cambridge University Press; 2005
    Google Scholar
  • 8 Lennane KJ. “Whistleblowing”: a health issue. BMJ 1993; 307 (6905) 667-670
    CrossrefPubMedGoogle Scholar
  • 9 National Patient Safety Agency. Available at: http://news.NPSA.UK
    PubMedGoogle Scholar
  • 10 Definition of clinical governance. Wikipedia Web site. Available at: en.wikipedia.org/wiki/Clinical_governance
    PubMedGoogle Scholar
  • 11 Mayer JF, Jones EL, Dowling-Lacey D , et al. Total quality improvement in the IVF laboratory: choosing indicators of quality. Reprod Biomed Online 2003; 7 (6) 695-699
    CrossrefPubMedGoogle Scholar
  • 12 International Organization for Standardization (ISO). International Standard ISO 15189. Medical Laboratories—Particular Requirements for Quality and Competence. Geneva, Switzerland: ISO; 2003
    Google Scholar
  • 13 Practice Committee of the American Society for Reproductive Medicine. Definition of “experimental procedures.”. Fertil Steril 2009; 92 (5) 1517
    CrossrefPubMedGoogle Scholar
  • 14 Practice Committee of American Society for Reproductive Medicine; Practice Committee of Society for Assisted Reproductive Technology. Ovarian tissue and oocyte cryopreservation. Fertil Steril 2008; 90 (5, Suppl) S241-S246
    PubMedGoogle Scholar
  • 15 Noyes N, Boldt J, Nagy ZP. Oocyte cryopreservation: is it time to remove its experimental label?. J Assist Reprod Genet 2010; 27 (2–3) 69-74
    CrossrefPubMedGoogle Scholar