Main Elliott K, Goffman Dena, Scavone Barbara M, Low Lisa Kane, Bingham Debra, Fontaine Patricia L, Gorlin Jed B, Lagrew David C, Levy Barbara S
From the California Maternal Quality Care Collaborative, Stanford, California; the American College of Obstetricians and Gynecologists, District II, New York, New York; the Society for Obstetric Anesthesia and Perinatology, Milwaukee, Wisconsin; the American College of Nurse-Midwives, Silver Spring, and the American Association of Blood Banks, Bethesda, Maryland; the Association of Women's Health, Obstetric and Neonatal Nurses, and the American Congress of Obstetricians and Gynecologists, Washington, DC; and the American Academy of Family Physicians, Leawood, Kansas.
Anesth Analg. 2015 Jul;121(1):142-148. doi: 10.1097/AOG.0000000000000869.
Hemorrhage is the most frequent cause of severe maternal morbidity and preventable maternal mortality and therefore is an ideal topic for the initial national maternity patient safety bundle. These safety bundles outline critical clinical practices that should be implemented in every maternity unit. They are developed by multidisciplinary work groups of the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care. The safety bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and System Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged. References contain sample resources and "Potential Best Practices" to assist with implementation.
出血是严重孕产妇发病和可预防孕产妇死亡的最常见原因，因此是国家孕产妇患者安全初始综合措施的理想主题。这些安全综合措施概述了每个产科单位应实施的关键临床实践。它们由国家孕产妇安全伙伴关系的多学科工作组在妇女保健患者安全委员会的指导下制定。安全综合措施分为四个领域：准备、识别与预防、应对以及报告与系统学习。虽然综合措施的组成部分可进行调整以适应各机构现有的资源，但强烈鼓励在一个机构内实现标准化。参考文献包含示例资源和“潜在最佳实践”以协助实施。
