Skip to main content
Top
Published in: Gynecological Surgery 2/2016

Open Access 01-05-2016 | Opinion

Office Hysteroscopy. An operative gold standard technique and an important contribution to Patient Safety

Authors: J. Mairos, P. Di Martino

Published in: Gynecological Surgery | Issue 2/2016

Login to get access

Abstract

According to World Health Organization (WHO), about 1 out of 10 hospitalized patients suffers an adverse event, in developed countries, being an adverse event an injury related to medical management, in contrast to complications of disease. These events cause both unnecessary suffering and huge cost to health systems. This issue is so important that WHO has defined it as a global health problem and in 2004 launched the World Alliance for Patient Safety, with the aim to coordinate, disseminate and accelerate improvements in Patient Safety. Office Hysteroscopy (OH), as an independent technique of the hospital circuit, has the ideal conditions to be qualified as the gold standard technique for the surgical treatment of intracavitary uterine pathology. It does not require the use of an operating room, hospital admission and general or locoregional anaesthesia. The appropriate surgical techniques, allied to pain control, allow OH to resolve much more than 90 % of the surgical needs of the intracavitary uterine pathology, thus being an important contribution for Patient Safety.
Literature
1.
go back to reference Brennan TA, Leape LL, Laird N, et al. (1991) Incidence of adverse events and negligence in hospitalised patients: results of the Harvard Medical Practice Study. N Engl J Med 324(6):370–377CrossRefPubMed Brennan TA, Leape LL, Laird N, et al. (1991) Incidence of adverse events and negligence in hospitalised patients: results of the Harvard Medical Practice Study. N Engl J Med 324(6):370–377CrossRefPubMed
2.
go back to reference Leape LL, Brennan TA, Laird N, et al. (1991) The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 324(6):377–384CrossRefPubMed Leape LL, Brennan TA, Laird N, et al. (1991) The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 324(6):377–384CrossRefPubMed
3.
go back to reference Wilson RM, Runciman WB, Gibberd RW, et al. (1995) The Quality in Australian Health Care Study. Med J Aust 163:458–471PubMed Wilson RM, Runciman WB, Gibberd RW, et al. (1995) The Quality in Australian Health Care Study. Med J Aust 163:458–471PubMed
4.
go back to reference Vincent C, Neale G, Woloshynowych M (2001) Adverse events in British hospitals: preliminary retrospective record review. Br Med J 322:517–519CrossRef Vincent C, Neale G, Woloshynowych M (2001) Adverse events in British hospitals: preliminary retrospective record review. Br Med J 322:517–519CrossRef
5.
go back to reference Kohn LT, Corrigan JM, Donaldson MS Eds. 1999 To err is human: building a safer health system. Institute of Medicine, National Academy Press Kohn LT, Corrigan JM, Donaldson MS Eds. 1999 To err is human: building a safer health system. Institute of Medicine, National Academy Press
6.
go back to reference Sousa P, Uva AS, Serranheira F, et al. (2011) Eventos adversos em hospitais portugueses: estudo piloto de incidência, impacte e evitabilidade. Escola Nacional de Saúde Pública, Lisboa Sousa P, Uva AS, Serranheira F, et al. (2011) Eventos adversos em hospitais portugueses: estudo piloto de incidência, impacte e evitabilidade. Escola Nacional de Saúde Pública, Lisboa
7.
go back to reference Keats JP (2013) –12-01 Patient Safety in the obstetrics and gynecologic office setting. Obstet Gynecol Clin 40(Issue 4):611–623CrossRef Keats JP (2013) –12-01 Patient Safety in the obstetrics and gynecologic office setting. Obstet Gynecol Clin 40(Issue 4):611–623CrossRef
8.
go back to reference Bettochi S, Ceci O, Nappi L, et al. (2004) Operative hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol 11:59–61 Bettochi S, Ceci O, Nappi L, et al. (2004) Operative hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J Am Assoc Gynecol 11:59–61
9.
go back to reference Wortman M, Daggett A, Ball C (2013) 01-01 Operative hysteroscopy in an office-based surgical setting: review of Patient Safety and satisfaction in 414 cases. J Minim Invasive Gynecol 20(Issue 1):56–63CrossRefPubMed Wortman M, Daggett A, Ball C (2013) 01-01 Operative hysteroscopy in an office-based surgical setting: review of Patient Safety and satisfaction in 414 cases. J Minim Invasive Gynecol 20(Issue 1):56–63CrossRefPubMed
10.
go back to reference Vinagre C, Mairos J, Di Martino P (2013) Hysteroscopic anesthesia: a new method of anesthesia in ambulatory hysteroscopy. Acta Obstet Ginecol Port 7(4):274–277 Vinagre C, Mairos J, Di Martino P (2013) Hysteroscopic anesthesia: a new method of anesthesia in ambulatory hysteroscopy. Acta Obstet Ginecol Port 7(4):274–277
11.
go back to reference Skensved H. 2009 Treatment of symptomatic submucous fibroids in a true office setting: enucleation of fibroids in focal anaesthesia—a report on 401 cases. ESGE Congr 28–30 October Skensved H. 2009 Treatment of symptomatic submucous fibroids in a true office setting: enucleation of fibroids in focal anaesthesia—a report on 401 cases. ESGE Congr 28–30 October
12.
go back to reference Mairos J, Di Martino P 2014 An operative gold standard technique and an important contribution to Patient Safety. ESGE Congr 24–27 September Mairos J, Di Martino P 2014 An operative gold standard technique and an important contribution to Patient Safety. ESGE Congr 24–27 September
13.
go back to reference Rodrigues M, Di Martino P, Mairos J (2014) Excision of intracavitary masses in Office Hysteroscopy—what are the limits? Acta Obstet Ginecol Port 8(3):252–256 Rodrigues M, Di Martino P, Mairos J (2014) Excision of intracavitary masses in Office Hysteroscopy—what are the limits? Acta Obstet Ginecol Port 8(3):252–256
Metadata
Title
Office Hysteroscopy. An operative gold standard technique and an important contribution to Patient Safety
Authors
J. Mairos
P. Di Martino
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
Gynecological Surgery / Issue 2/2016
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-015-0926-0

Other articles of this Issue 2/2016

Gynecological Surgery 2/2016 Go to the issue