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
Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York; University of Mississippi, Jackson, Mississippi; Baptist Healthcare Lexington, Lexington, Kentucky; Marian Regional Medical Center, Santa Maria, California; Dignity Health, San Francisco, California; Stanford University, Stanford, California; the Society for Obstetric Anesthesia and Perinatology, Milwaukee, Wisconsin; the University of Chicago, Chicago, Illinois; the American Academy of Family Physicians, Leawood, Kansas; the California Maternal Quality Care Collaborative, Stanford, California; the Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC; the American College of Nurse-Midwives, Silver Spring, Maryland; Frontier Nursing University, Hyden, Kentucky; the Preeclampsia Foundation, Melbourne, Florida; the American College of Obstetricians and Gynecologists, Washington, DC; the Society for Maternal-Fetal Medicine; Washington, DC; and the University of North Carolina, Chapel Hill, North Carolina.
Obstet Gynecol. 2017 Aug;130(2):347-357. doi: 10.1097/AOG.0000000000002115.
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。为帮助医疗保健提供者实现这一目标，本患者安全包提供指导，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包之一。这些安全包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安全包类似，高血压安全包分为四个领域：准备、识别与预防、应对以及报告与系统学习。尽管安全包的组成部分可进行调整以适应各机构的现有资源，但强烈鼓励在机构内部实现标准化。本评论提供有助于实施安全包的信息。
