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Office Procedures: Practical and Safety Considerations


Clinical Obstetrics and Gynecology: September 2012 - Volume 55 - Issue 3 - p 620–634
doi: 10.1097/GRF.0b013e31825ca6fa
Office Gynecology

Gynecologic invasive procedures have moved into the physician’s office due to improved reimbursement and convenience. Creating a just and safe office culture has generated robust conversations in the medical literature. This article reviews the foundational principles relating to safe practices in the office including: checklists, drills, selecting a safety officer, achieving office certification, medication usage, and engaging the patient in the safety culture. Reduction of medical errors in the office will require open dialogue between the stake holders: providers, insurers, patients, state and federal agencies, and educational bodies such as the American College of Obstetricians and Gynecologists.

Rosemark, Idaho Falls, Idaho

T.B.E. is a consultant to American Medical Systems, Intuitive, Coloplast, Ethicon.

Correspondence: Ty B. Erickson, MD, Rosemark, Idaho Falls, ID. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.