Bingham Debra
Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), 2000 L Street, NW, Suite 740, Washington, DC 20036, USA.
J Obstet Gynecol Neonatal Nurs. 2012 Jul-Aug;41(4):540-8; quiz 549-50. doi: 10.1111/j.1552-6909.2012.01373.x. Epub 2012 Apr 30.
Obstetric hemorrhage is an emergency situation in which clinicians can make errors that cause women to suffer preventable maternal morbidity and mortality. Scrutinizing commonly occurring obstetric hemorrhage-related practice errors by applying the generic errors modeling system, a research-based framework, to quality improvement efforts facilitates the identification of error specific reduction strategies. The common types of errors are skill-based, rule-based, and knowledge-based active and latent errors.
产科出血是一种紧急情况,在此情况下临床医生可能会犯错,导致女性遭受可预防的孕产妇发病和死亡。通过应用通用错误建模系统(一种基于研究的框架)来审视常见的与产科出血相关的操作错误,有助于在质量改进工作中识别特定于错误的减少策略。常见的错误类型包括基于技能、基于规则以及基于知识的主动和潜在错误。