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第667号委员会意见摘要:基于医院的产科患者分诊

Committee Opinion No. 667 Summary: Hospital-Based Triage of Obstetric Patients.

出版信息

Obstet Gynecol. 2016 Jul;128(1):228. doi: 10.1097/AOG.0000000000001522.

DOI:10.1097/AOG.0000000000001522
PMID:27333356
Abstract

Emergency departments typically have structured triage guidelines for health care providers encountering the diverse cases that may present to their units. Such guidelines aid in determining which patients must be evaluated promptly and which may wait safely, and aid in determining anticipated use of resources. Although labor and delivery units frequently serve as emergency units for pregnant women, the appropriate structure, location, timing, and timeliness for hospital-based triage evaluations of obstetric patients are not always clear. Hospital-based obstetric units are urged to collaborate with emergency departments and hospital ancillary services, as well as emergency response systems outside of the hospital, to establish guidelines for triage of pregnant women. Recently developed, validated obstetric triage acuity tools may improve quality and efficiency of care and guide resource use, and they could serve as a template for use in individual hospital obstetric units.

摘要

急诊科通常为医护人员制定了结构化的分诊指南,以应对可能出现在其科室的各种病例。这些指南有助于确定哪些患者必须立即接受评估,哪些患者可以安全等待,并有助于确定资源的预期使用情况。尽管产科病房经常充当孕妇的急诊科室,但基于医院的产科患者分诊评估的适当结构、地点、时间和及时性并不总是很明确。敦促医院产科病房与急诊科、医院辅助服务部门以及医院外的应急系统合作,制定孕妇分诊指南。最近开发并经过验证的产科分诊 acuity 工具可能会提高护理质量和效率,并指导资源使用,它们可以作为个别医院产科病房使用的模板。

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