Risk management in gynaecology

The majority of gynaecology patients are fit women receiving relatively straightforward care. However, human error is inevitable. Furthermore, new treatments and technologies are constantly emerging, today's trainees are less experienced than their predecessors, and the need for team work is greater than ever. These and other factors pose threats to patient safety, and these threats can be addressed through risk management. This review describes risk management principles and tools applicable to gynaecology and highlights common sources of patient safety incidents in gynaecology clinics, wards and operating theatres. Applying the RADICAL risk management framework, it provides an overview of communication, consent, staff training and supervision, and the use of clinical practice guidance. Underlying theoretical principles are illustrated by practical examples.