Myers S A, Gleicher N
Division of Maternal/Fetal Medicine, Mount Sinai Hospital Medical Center, Chicago, Illinois 60608.
QRB Qual Rev Bull. 1991 May;17(5):162-6. doi: 10.1016/s0097-5990(16)30447-x.
In 1986, the Division of Maternal/Fetal Medicine, Mount Sinai Hospital Medical Center, Chicago, implemented a cesarean section (C-section) program that used clinical guidelines to educate physicians and a computerized data collection system to provide reliable data for physician peer review; C-section rates fell from 17.5% to 11.5% in 1987, where they have remained. This program has been so successful that it is the model for a comparable program for the hospital's gynecology services.
1986年,芝加哥西奈山医院医疗中心的母胎医学科实施了一项剖宫产(C -section)计划,该计划使用临床指南对医生进行培训,并采用计算机化数据收集系统为同行评议提供可靠数据;1987年剖宫产率从17.5%降至11.5%,此后一直保持这一水平。该计划非常成功,已成为医院妇科类似计划的典范。