标准化重度孕产妇并发症评审：原理与流程。
Standardized severe maternal morbidity review: rationale and process.
机构信息
Departments of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, Montefiore Medical Center, Bronx, New York, University of Florida College of Medicine, Gainesville, Florida, Virginia Commonwealth University, Richmond, Virginia, California Pacific Hospital, San Francisco, California, Medical College of Wisconsin, Milwaukee, Wisconsin, and Wake Forest University, Winston-Salem, North Carolina; the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia; the Association of Women's Health, Obstetric and Neonatal Nurses and the American College of Obstetricians and Gynecologists, Washington, DC; the Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, California; the University of Colorado College of Nursing, Aurora, Colorado; and the Cooper University Hospital, Cooper Medical School, Rowan University, Camden, New Jersey.
出版信息
Obstet Gynecol. 2014 Aug;124(2 Pt 1):361-366. doi: 10.1097/AOG.0000000000000397.
Severe maternal morbidity and mortality have been rising in the United States. To begin a national effort to reduce morbidity, a specific call to identify all pregnant and postpartum women experiencing admission to an intensive care unit or receipt of 4 or more units of blood for routine review has been made. While advocating for review of these cases, no specific guidance for the review process was provided. Therefore, the aim of this expert opinion is to present guidelines for a standardized severe maternal morbidity interdisciplinary review process to identify systems, professional, and facility factors that can be ameliorated, with the overall goal of improving institutional obstetric safety and reducing severe morbidity and mortality among pregnant and recently pregnant women. This opinion was developed by a multidisciplinary working group that included general obstetrician-gynecologists, maternal-fetal medicine subspecialists, certified nurse-midwives, and registered nurses all with experience in maternal mortality reviews. A process for standardized review of severe maternal morbidity addressing committee organization, review process, medical record abstraction and assessment, review culture, data management, review timing, and review confidentiality is presented. Reference is made to a sample severe maternal morbidity abstraction and assessment form.
美国的严重孕产妇发病率和死亡率一直在上升。为了开始全国性的努力来降低发病率，人们呼吁专门确定所有入住重症监护病房或接受 4 个或更多单位常规血液的孕产妇和产后妇女，以便进行常规审查。虽然倡导审查这些病例，但没有提供审查过程的具体指导。因此，本专家意见的目的是提出标准化严重孕产妇发病率跨学科审查流程的指南，以确定可以改善的系统、专业和医疗机构因素，总体目标是提高机构产科安全性，降低孕妇和近期孕妇的严重发病率和死亡率。本意见由一个多学科工作组制定，该工作组包括普通妇产科医生、母胎医学专家、认证护士助产士和有孕产妇死亡率审查经验的注册护士。提出了一个用于标准化审查严重孕产妇发病率的流程，该流程涉及委员会组织、审查流程、病历摘要和评估、审查文化、数据管理、审查时间安排和审查保密性。参考了一份严重孕产妇发病率摘要和评估表示例。
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