Department of Neonatology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02215.
Executive Committee, Colorado Perinatal Care Quality Collaborative, Denver, CO.
Semin Perinatol. 2017 Apr;41(3):195-203. doi: 10.1053/j.semperi.2017.03.009.
State-based perinatal quality collaboratives (SPQC) have become increasingly widespread in the United States. Whereas the first was launched in 1997, today over 40 states have SPQCs that are actively working or are in development. Despite great variability in the structure and function of SPQCs among states, many have seen their efforts lead to significant improvements in the care of mothers and newborns. Clinical topics targeted by SPQCs have included nosocomial infection in newborns, human milk use, neonatal abstinence syndrome, early term deliveries without a medical indication, maternal hemorrhage, and maternal hypertension, among others. While each SPQC uses approaches suited to its own context, several themes are common to the goals of all SPQCs, including developing obstetric and neonatal partnerships; including families as partners; striving for participation by all providers; utilizing rigorous quality improvement science; maintaining close partnerships with public health departments; and seeking population-level improvements in health outcomes.
基于州的围产期质量合作组织（SPQC）在美国已经越来越普遍。虽然第一个组织于 1997 年成立，但如今已有超过 40 个州拥有正在积极运作或正在发展中的 SPQC。尽管各州的 SPQC 在结构和功能上存在很大差异，但许多州的努力都导致了母婴护理质量的显著改善。SPQC 针对的临床主题包括新生儿院内感染、人乳使用、新生儿戒断综合征、无医学指征的早产、产妇出血和产妇高血压等。虽然每个 SPQC 都采用适合自身情况的方法，但所有 SPQC 的目标都有几个共同的主题，包括建立产科和新生儿合作关系；将家庭作为合作伙伴；努力让所有提供者参与；利用严格的质量改进科学；与公共卫生部门保持密切合作关系；并寻求在人口层面改善健康结果。
