Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Keck School of Medicine, University of Southern California, Childrens Hospital Los Angeles, Los Angeles, CA, USA.
Am J Obstet Gynecol. 2012 Apr;206(4):278-83. doi: 10.1016/j.ajog.2011.08.016. Epub 2011 Aug 22.
In 1999, a highly publicized report from the Institute of Medicine identified major deficiencies in the United States health care system, which fueled the rapid growth of the modern patient safety movement. One of the greatest risks to patient safety in obstetrics is poor communication of electronic fetal heart rate monitoring findings. Standardization and elimination of unnecessary complexity are 2 of the cornerstones of improved patient safety. This article describes a standardized, simplified approach to the definition, interpretation, and management of electronic fetal heart rate monitoring that is evidence-based and reflects consensus in the literature.
1999 年,医学研究所发布的一份备受瞩目的报告指出了美国医疗体系的重大缺陷,这推动了现代患者安全运动的快速发展。围产期患者安全面临的最大风险之一是电子胎心监护结果的沟通不畅。标准化和消除不必要的复杂性是提高患者安全性的两个基石。本文描述了一种标准化、简化的电子胎心监护定义、解释和管理方法,该方法基于证据并反映了文献中的共识。