Bernstein Peter S, Martin James N, Barton John R, Shields Laurence E, Druzin Maurice L, Scavone Barbara M, Frost Jennifer, Morton Christine H, Ruhl Catherine, Slager Joan, Tsigas Eleni Z, Jaffer Sara, Menard M Kathryn
From the *Division of Maternal Fetal Medicine, †Department of Obstetrics and Gynecology, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York; ‡University of Mississippi, Jackson, Mississippi; §Maternal-Fetal Medicine, Baptist Healthcare Lexington, Lexington, Kentucky; ‖Maternal Fetal Medicine, Marian Regional Medical Center, Santa Maria, California; ¶Perinatal Safety for Dignity Health, San Francisco, California; #Department of Obstetrics and Gynecology, Stanford University, Stanford, California; **Department of Anesthesia & Critical Care, ††Department of Obstetrics & Gynecology, University of Chicago, Chicago, Illinois; ‡‡Health of the Public and Science Division, American Academy of Family Physicians, Leawood, Kansas; §§California Maternal Quality Care Collaborative, Stanford, California; ‖‖Women's Health Programs, Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC; ¶¶American College of Nurse-Midwives, Silver Spring, Maryland; ##Frontier Nursing University, Hyden, Kentucky; ***Preeclampsia Foundation, Melbourne, Florida; †††American College of Obstetricians and Gynecologists, Washington, DC; ‡‡‡Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.
Anesth Analg. 2017 Aug;125(2):540-547. doi: 10.1213/ANE.0000000000002304.
Complications arising from hypertensive disorders of pregnancy are among the leading causes of preventable severe maternal morbidity and mortality. Timely and appropriate treatment has the potential to significantly reduce hypertension-related complications. To assist health care providers in achieving this goal, this patient safety bundle provides guidance to coordinate and standardize the care provided to women with severe hypertension during pregnancy and the postpartum period. This is one of several patient safety bundles 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. These safety bundles outline critical clinical practices that should be implemented in every maternity care setting. Similar to other bundles that have been developed and promoted by the Partnership, the hypertension safety bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged. This commentary provides information to assist with bundle implementation.
妊娠高血压疾病引发的并发症是可预防的严重孕产妇发病和死亡的主要原因之一。及时且恰当的治疗有可能显著降低与高血压相关的并发症。为帮助医疗服务提供者实现这一目标，本患者安全集束提供指导，以协调和规范在孕期及产后为重度高血压女性提供的护理。这是在妇女保健患者安全理事会的指导下，由国家孕产妇安全伙伴关系多学科工作组制定的若干患者安全集束之一。这些安全集束概述了应在每个产科护理环境中实施的关键临床实践。与该伙伴关系制定和推广的其他集束类似，高血压安全集束分为四个领域：准备、识别与预防、应对以及报告与系统学习。尽管集束组成部分可根据各机构现有的资源进行调整，但强烈鼓励在机构内部实现标准化。本评论提供信息以协助集束的实施。
