4 research outputs found
Knowledge and Attitude of the Faculty Members and Residents of Guilan University Towards Medical Errors, Barriers, and Predisposing Factors : Medical Error, Barriers and Predisposing Factors
Background: Patient safety is among the main goals in a health system. Medical errors are considered a significant threat to patient safety. An effective strategy to reduce this risk is reporting these errors even when the patient is not affected. This study investigated the main barriers to reporting medical errors and related factors.Methods: This cross-sectional descriptive study was conducted in academic hospitals afflicted with Guilan University of Medical Sciences (GUMS) in 2020. University faculty members and residents enrolled in the survey, and a questionnaire was filled out via a face-to-face interview by the responsible resident of anesthesiology.Results: Overall, 366 individuals, 156 faculty members, and 210 residents completed the questionnaires. Overall, 271 (74.2%), 134 (85.9%) faculty members, and 137 (65.6%) residents, the main barrier to report medical errors was concerning legal consequences. Furthermore, the other important factors were concerning losing job credit (63.4%) and losing the patient’s trust (61.2%). Moreover, the main predisposing factors of medical errors were high workload and a large number of patients (83.3%), long work shifts, and physicians fatigue (80.8%). High job stress and the lack of feeling of support from higher authorities (70.5%), and the lack of adequate equipment and appropriate medical facilities (56%) were the most related factors based on their perspective.Conclusion: According to the obtained findings, the main barrier to reporting medical errors was legal consequences. Moreover, the main predisposing factors were high workload, many patients, long working shifts, and physicians’ fatigue. Attempts should be made to plan programs to improve the current conditions
Administration of NTG before embryo transfer does not increase pregnancy rate
Background: Recent studies of uterine contractility in
IVF–embryotransfer led us to consider an alternative, and
possibly complementary,explanation for the high implantation rates of
blastocysts.It has been demonstrated that myometrial contractile
activityinfluences embryo implantation, possibly through
mechanicaldisplacement of embryos. Objective: The aim of this study
was to examine the effect of nitroglycerine (NTG)treatment for priming
the uterus on the pregnancy outcome of ICSI-ET programs. Materials and
Methods: This study was a prospective, randomized, double-blinded
placebo-controlled clinical trial. One hundred consecutive cycles of
ICSI-ET on infertile couples were randomly divided into treatment and
control groups. The treatment group (50 cycles) received an oral dose
of 0.4 mg of NTG, and the control group (50 cycles) received a placebo,
15 minutes before fresh ET. An informed consent from was obtained form
each patients. The main outcomes were implantation rate (IR) and
pregnancy rate (PR). Results: The mean age of females in the control
group and in the treatment group were 30.1±5.1 and 31±5.5
years respectively. Data showed that the mean duration of infertility
was not significantly different between control and treatment groups
(6.6±5.8 versus 7.8±5.1 years, respectively). The mean number
of oocyte retrieval (metaphase II), 2pn, embryo cleaved, embryo
transferred and PR weren't different between two Groups (p>0.05).
Overall PR was 36%, it was 38% in treatment group and 34% in control
group but there wasn’t statistically significant difference
between two groups. (p>0.05) Conclusion: NTG didn't increase PR
compared to placebo group. These results suggest that NTG treatment
before ET isn't effective in the priming of a uterus