Department of Perinatal Medicine, Providence St Vincent Medical Center, Portland, OR 97202, USA.
Am J Obstet Gynecol. 2010 Nov;203(5):440.e1-4. doi: 10.1016/j.ajog.2010.03.033. Epub 2010 May 15.
A revised nomenclature regarding electronic fetal heart rate monitoring was accepted at a National Institute of Child Health and Human Development consensus conference in 2008. At the heart of patient safety are communication strategies that enhance teamwork and collaboration between health care professionals. Communications is a complex 2-way process that involves more than transfer of factual information. P.U.R.E. (purposeful, unambiguous, respectful, and effective) Conversations in Obstetrics is an acronym that helps facilitate this communication process in perinatal care. P.U.R.E. stands for purposeful, unambiguous, respectful, and effective. The P.U.R.E. Conversations approach involves refinement of the mental processes associated with delivering the message, delivery of the message with data, accuracy, and direct requests for action, attention to relationships and behaviors between the communicating parties, and real-time assessment of the effectiveness of the communication. When the new electronic monitoring nomenclature is combined with an effective communication tool, one could expect to see a reduction in communication failures that could lead to adverse perinatal outcomes.
2008 年，美国国立儿童健康与人类发展研究院共识会议通过了一项关于电子胎心监护命名法的修订。保障患者安全的核心是沟通策略，它可以增强医护人员之间的团队合作。沟通是一个复杂的双向过程，不仅仅是事实信息的传递。妇产科有效沟通的 P.U.R.E.原则是一个缩写词，有助于促进围产期护理中的这种沟通过程。P.U.R.E. 代表有目的、不含糊、尊重和有效。P.U.R.E. 对话方法涉及对传递信息的心理过程的细化，用数据、准确性和直接请求来传递信息，并采取行动，关注沟通双方之间的关系和行为，以及实时评估沟通的有效性。当新的电子监测命名法与有效的沟通工具相结合时，可以预期会减少可能导致不良围产结局的沟通失败。
