Davies Joanna M, Stephens Linda S
Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington.
Clin Obstet Gynecol. 2017 Jun;60(2):431-446. doi: 10.1097/GRF.0000000000000272.
Obstetric practice carries a high risk of medical liability and involves both obstetricians and anesthesiologists. Analysis of data from the Anesthesia Closed Claims Project database shows an increase in the proportion of anesthesia claims for maternal death and brain damage between the 1990s and 2000 and later, primarily due to hemorrhage. The proportion of claims for newborn brain damage remained unchanged while those for maternal nerve injury and minor injuries decreased. Use of massive transfusion protocols and clinical drills have been shown to improve outcomes from hemorrhage. Good communication and teamwork are critical for reducing obstetric liability.
产科医疗实践面临着很高的医疗责任风险，涉及产科医生和麻醉医生。对麻醉闭合性索赔项目数据库的数据分析表明，在20世纪90年代至2000年及以后，因产妇死亡和脑损伤而提出的麻醉索赔比例有所增加，主要原因是出血。新生儿脑损伤索赔比例保持不变，而产妇神经损伤和轻伤索赔比例下降。大量输血方案的应用和临床演练已被证明可改善出血的治疗效果。良好的沟通和团队合作对于降低产科责任至关重要。
