Abstract
Objective
The objective of this study is to evaluate patient concerns about in vitro fertilization (IVF) errors and electronic witness systems (EWS) satisfaction.
Design
The design of this study is a prospective single-center cohort study.
Setting
The setting of this study was located in the private IVF center.
Patient(s)
Four hundred eight infertile patients attending an IVF cycle at a GENERA center in Italy were equipped with an EWS.
Intervention(s)
Although generally recognized as a very rare event in IVF, biological sample mix-up has been reported in the literature. For this reason, some IVF laboratories have introduced EWS with the aim to further reduce the risk of error during biological samples handling. Participating patients received a questionnaire developed through a Likert scale ranging from 1 to 6.
Main outcomes measure(s)
Patient concerns about sample mix-up without and with an EWS were assessed.
Result(s)
90.4 % of patients expressed significant concerns relating to sample mix-up. The EWS reduced these concerns in 92.1 % of patients, 97.1 % of which were particularly satisfied with the electronic traceability of their gametes and embryos in the IVF laboratory. 97.1 % of patients felt highly comfortable with an IVF center equipped with an EWS. Female patients had a significantly higher appreciation of the EWS when compared to their male partners (p = 0.029). A significant mix-up event occurred in an Italian hospital during the study and patient’s satisfaction increased significantly towards the use of the EWS after the event (p = 0.032).
Conclusion(s)
EWS, by sensibly reducing the risk for sample mix-up in IVF cycles, has been proved to be a trusted strategy from patient’s perspective.
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Acknowledgments
We are very thankful to the patients who completed the questionnaire and consented to this analysis.
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Ethics declarations
The institutional review board of the Valle Giulia Clinic approved the study, and signed informed consent was obtained from all patients recruited.
Conflict of interest
The authors declare that they have no conflicts of interest.
Additional information
Capsule EWS is able to contain patient concerns about possible errors in biological sample manipulation and will increase patient satisfaction towards the IVF Clinic, especially after of the embryo exchange that happened at an Italian Hospital in 2013.
Marina Forte and Federica Faustini contributed equally to this work.
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Forte, M., Faustini, F., Maggiulli, R. et al. Electronic witness system in IVF—patients perspective. J Assist Reprod Genet 33, 1215–1222 (2016). https://doi.org/10.1007/s10815-016-0759-4
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DOI: https://doi.org/10.1007/s10815-016-0759-4