Risk management in gynaecology

  • Cathrine Holland
    Cathrine Holland PhD FRCOG, Consultant Gynaecological Oncologist and Divisional Clinical Governance Lead for Gynaecology, Department of Gynaecology, Manchester University Hospitals NHS Foundation Trust, Manchester, UK. Conflicts of interest: none declared
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Published:November 18, 2022DOI:


      Healthcare providers are obliged to reduce the risk of harm to patients using their services. Robust risk management embraces a blame-free reporting culture and learning from clinical errors whilst adopting a proactive approach to the measurement of patient safety indicators. A good safety culture within an organisation provides assurance to service users, staff, and the public, that there is commitment to provision of high quality safe and effective care. Risk management is everybody's responsibility. Therefore, all clinicians must possess an understanding of risk management processes. This review outlines the key elements of risk management within gynaecology and explains how risks are identified, assessed, quantified and managed. Examples from within the gynaecological setting and the challenges and the emergent risks posed by the COVID19 pandemic, are also discussed.


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        • Dindo D.
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        • Clavien P.A.
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        • Reader T.
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        • Donaldson L.J.
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