• Poor documentation. Great care must be taken when completing all documentation (and everything must be documented) in order to ensure that all records (laboratory, medical and government) are complete and accurate. For example, a Center that makes repeated mistakes in its submissions of data to an external regulatory agency could be considered suspect in its ability to complete its own paperwork. Other indicators of carelessness or lack of attention to detail (i.e. risk) include personnel not being aware of patients' appointments/procedures/management plan, mistakes in patient accounts, telephone calls being made to the wrong patient, etc.
• Unrecognized incidents. Unless a comprehensive system of Incident Reports for all adverse events is in place, enforced, and employed constructively, many mistakes will never be recognized or remembered. In this context, an "adverse event" can be defined as any event that potentially or actually affects staff safety, patient safety or the provision of treatment according to the patient's care plan or the expected outcome of their treatment.
• Use of non-approved products or devices. Some IVF Centers use products or devices that are either intended for veterinary use or that have not been approved for medical use by the appropriate regulatory authorities, e.g. The Food and Drug Administration in the USA, CE marking in Europe, etc. A common example of this is the Tomcat catheter, a veterinary product that is still used in some Centers for intra-uterine insemination and even embryo transfer. Studies reported at conferences, and in peer-reviewed journals have clearly demonstrated the detrimental effect of this catheter when used for embryo transfer (see Chapter 11). Consequently, not only is such usage a significant risk factor for decreased success rates, but it must also be considered a risk in terms of potential liability.
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A Beginner's Guide to Healthy Pregnancy. If you suspect, or know, that you are pregnant, we ho pe you have already visited your doctor. Presuming that you have confirmed your suspicions and that this is your first child, or that you wish to take better care of yourself d uring pregnancy than you did during your other pregnancies; you have come to the right place.