Wojnar Danuta M, Cowgill Karen, Hoffman Lindsay, Carlson Hannah
Seattle University, WA, USA
Seattle University, WA, USA.
West J Nurs Res. 2014 Sep;36(8):975-88. doi: 10.1177/0193945913515057. Epub 2013 Dec 16.
Pitocin, a synthetic form of the hormone oxytocin, is a high-alert medication that heightens patient harm when used incorrectly. This investigation examined the outcomes of an evidence-based Pitocin administration checklist used for labor augmentation at a tertiary-level hospital. Data came from patient records. Using the Perinatal Trigger Tool, N = 372 clinical records (n = 194 prior to and n = 178 following checklist implementation) were reviewed. Checklist implementation resulted in statistically significant reductions in the duration of hospitalization (1.72 vs. 2.02 days, p = .0005), presence of meconium (23.7% vs. 6.7%, p < .001), maternal fevers (7.2% vs. 2.3%, p = .030), and episiotomies (8.8% vs. 1.7%, p = .002), and clinically important reduction in APGAR scores < 7 at 5 min (3.6%-0.6%, p = .069) and instrumented deliveries (11.9%-8.4%, p = .307). A universal Pitocin checklist implementation can improve birth outcomes and costs of care.
缩宫素是一种合成形式的催产素激素，是一种高警示药物，使用不当会增加患者伤害。本调查研究了一家三级医院用于引产的循证缩宫素给药检查表的效果。数据来自患者记录。使用围产期触发工具，审查了N = 372份临床记录（检查表实施前n = 194份，实施后n = 178份）。检查表的实施使住院时间（1.72天对2.02天，p = .0005）、胎粪排出（23.7%对6.7%，p < .001）、产妇发热（7.2%对2.3%，p = .030）和会阴切开术（8.8%对1.7%，p = .002）在统计学上显著减少，并且5分钟时阿氏评分<7（3.6% - 0.6%，p = .069）和器械助产（11.9% - 8.4%，p = .307）在临床上有重要降低。实施通用的缩宫素检查表可改善分娩结局和护理成本。
