Kacmar Rachel M
Department of Anesthesiology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Curr Opin Anaesthesiol. 2017 Jun;30(3):287-293. doi: 10.1097/ACO.0000000000000469.
The present review highlights recent advances in efforts to improve patient safety on labor and delivery units and well tolerated care for pregnant patients in general.
Recent studies in obstetric patient safety have a broad focus but repetitive themes for interdisciplinary training include: simulating critical events, having open multidisciplinary communication, frequent reviews of cases of maternal morbidity, and implementing maternal early warning systems. The National Partnership for Maternal Safety is also active in promoting care bundles across many topics on maternal safety.
A culture of safety is the goal for all obstetric units. Achieving that ideal requires multidisciplinary collaboration, frequent reassessment for areas of improvement, and a culture of openness to change when improvement opportunities arise.
本综述重点介绍了在提高分娩单元患者安全以及为一般孕妇提供耐受性良好的护理方面的最新进展。
近期关于产科患者安全的研究涵盖广泛,但跨学科培训的重复主题包括:模拟关键事件、进行开放的多学科沟通、频繁审查孕产妇发病病例以及实施孕产妇早期预警系统。国家孕产妇安全伙伴关系也积极推动围绕孕产妇安全诸多主题的护理包。
安全文化是所有产科单元的目标。实现这一理想需要多学科协作、对改进领域进行频繁重新评估以及在出现改进机会时形成开放变革的文化。