title: Can the use of quality assurance tools reduce the impact of surgical complications on the well-being of obstetricians and gynaecologists in Australia and New Zealand?
abstract: BACKGROUND
  While adverse events primarily affect the patient, surgeons involved can also experience considerable distress.
  
  
  OBJECTIVE
  The aim of the survey was to assess the impact of complications on the day-to-day life, work and health of Australian and New Zealand obstetricians and gynaecologists and to evaluate existing support systems and coping strategies.
  
  
  METHODS
  A 43-question survey on self-assessment, quality assurance (QA) tools, impact of complications on individuals' health and relationships, and support available was emailed to fellows, trainees, subspecialists and subspecialty trainees of the Royal Australian and New Zealand College of Obstetrics and Gynaecology (RANZCOG). We collected 606 responses from a target population of 2296 (response rate 26.3%).
  
  
  RESULTS
  When complications occur, sleep was affected of 80%, family and social relationships of 55% and physical health of 48% of respondents. The major sources of support were from colleagues (83%), family (82%) and medical defence organisations (73%), with professional bodies perceived as providing least support. Nearly 80% of respondents felt the need to talk to someone they trust during times of complications. Overall, 100% of respondents used at least one QA tool (62% used two, 26% three and 9% four QA strategies). There were significant differences between respondent groups in use of the QA tools.
  
  
  CONCLUSIONS
  Surgical complications have a significant impact on the well-being of Australian and New Zealand obstetricians and gynaecologists. Existing support comes from colleagues and family, but structured, unbiased support for surgeons from a professional source is urgently warranted.
authors.affiliation: Tamworth Rural Referral Hospital, Tamworth, New South Wales, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Varughese
authors.forename: Monika
authors.initials: M
authors.lastname: Janda
authors.forename: Andreas
authors.initials: A
authors.lastname: Obermair
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D003625:Data Collection; D006176:Gynecology; D006801:Humans; D008875:Middle Aged; D009520:New Zealand; D009774:Obstetrics; D010820:Physicians / Q000523:psychology; D011183:Postoperative Complications / Q000523:psychology*; D011785:Quality Assurance, Health Care; D012647:Self-Assessment; D012944:Social Support
keywords: Gynaecologists' health; Obstetricians' health; adverse events; quality assurance; surgical complications