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Ce.are.n Ope.ative.Re.orts: We.Can Do Be.te.!

Ope. Journal of Obste.rics and Gyne.ology 2021年第2期11卷 117-124页

作者： sarah e. goodheart Jonathan D. Baum De.artme.t of Obste.rics and Gyne.ology Jersey Shore University Medical Center Neptune USA

Background: The.ope.ative.re.ort is an e.se.tial compone.t of communication, patie.t care. and safe.y;it is a JCAHO re.uire.e.t and le.al docume.t. Almost 80% of re.ide.cy program dire.tors surve.e. agre.d on the.impo... 详细信息

Background: The operative report is an essential component of communication, patient care, and safety;it is a JCAHO requirement and legal document. Almost 80% of residency program directors surveyed agreed on the importance of the operative report, yet less than 20% of programs provide formal resident training. Documentation has important implications in obstetrics as route and timing of future deliveries are often influenced by operative findings. Purpose: Examine completeness of cesarean operative reports using a validated instrument adapted from general surgery. Assess the impact of an educational resident in-service on the required elements and documentation in resident generated cesarean operative reports. Methods: A quality improvement project identified significant deficiencies in resident generated cesarean operative reports. We conducted a retrospective chart review of cesarean operative reports from November 2019 to May 2020 at Jersey Shore University Medical Center. Our study was conducted in three phases. In phase 1, a cohort of cesarean operative reports was examined using a structured evaluation tool. In phase 2, an educational resident in-service on standardization of operative notes was provided. In phase 3, another cohort of cesarean operative reports was examined using the same evaluation tool after the resident in-service. Analysis for improvement was performed. Results: Fifty pre and post-in-service cesarean operative report evaluations weree."font-family:Ve.dana;"> compare. (N = 100). Inclusion of date.of surge.y significantly improve. from 78% to 100%, p-value.< 0.001 and inclusion

关键词： Ce.are.n Docume.tation Note. Ope.ative Re.ide.t

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Pre.nancy Craving and Pica: 60 Ye.rs Late.

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Ope. Journal of Obste.rics and Gyne.ology 2020年第8期10卷 1079-1085页

作者： Jonathan D. Baum e.in e. Curcio sarah e. goodheart Je.se. Shore.Unive.sity Me.ical Ce.te. Neptune NJ USA

Purpose. To study pre.nancy craving and pica in a cohort of wome. and compare.our findings to a historic study. Me.hods: Prospe.tive.surve. of wome. in the.third trime.te. of pre.nancy. Data we.e.colle.te. using the.s... 详细信息

Purpose./strong>: To study pregnancy craving and pica in a cohort of women and compare our findings to a historic study. Methods: Prospective survey of women in the third trimester of pregnancy. Data were collected using the same questionnaire from a study published in Obstetrics and Gynecology in 1957. All surveys were conducted by clinicians at 35 0/7-41 6/7 weeks gestational age. High risk pregnancies were excluded. Results: We included 547 women in the analysis. Of those, 60.8% reported food craving vs 65.7% in the 1957 cohort, p-value 0.09. The most common food craving was fruit, seen in 31.1% vs 13.6%, p-value p-value 0.00001. The cohorts differed in fruit craving, (31.1% vs 13.6%), meat, poultry, fish, dry beans, eggs, and nuts (21.0% vs 5.0%), milk, yogurt, and cheese, (17.0% vs 2.2%) and vegetable, (14.1% vs 6.9%), all with p-value e."font-family:V

关键词： Pre.nancy Craving Pica

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