Greenwald Linda M, Mondor Maureen
Risk Management Department, ProMutual Group, Boston, Mass 02205-5178, USA.
J Perinat Neonatal Nurs. 2003 Apr-Jun;17(2):101-9. doi: 10.1097/00005237-200304000-00003.
Perinatal nurses are at higher risk for involvement in a malpractice suit than are their colleagues in other medical specialties. That risk can be minimized. A review of selected obstetrical malpractice claims reveals that key issues for perinatal nurses who want to avoid litigation include sound and current education in the interpretation of fetal heart rate tracings, the adoption of well-designed policies for the administration of oxytocin, ability and willingness to use the chain of command, comprehensive and objective documentation, and awareness of the fact that making the patient's well-being the focus of every nursing action is the perinatal nurse's best defense.
与其他医学专业的同事相比,围产期护士面临医疗事故诉讼的风险更高。这种风险可以降到最低。对选定的产科医疗事故索赔进行的审查表明,对于想要避免诉讼的围产期护士来说,关键问题包括对胎儿心率监测结果解读方面扎实且最新的教育、采用精心设计的缩宫素给药政策、运用指挥系统的能力和意愿、全面客观的记录,以及认识到将患者福祉作为每一项护理行动的重点是围产期护士最佳的防御手段。