Ehret Danielle Yerdon, Patterson Jacquelyn Knupp, Bose Carl Lewis
Department of Pediatrics, Robert Larner M.D. College of Medicine at the University of Vermont, 89 Beaumont Avenue, Burlington, VT 05405, USA; Vermont Oxford Network, 33 Kilburn Street, Burlington, VT 05401, USA.
Department of Pediatrics, University of North Carolina School of Medicine, 321 S. Columbia Street, Chapel Hill, NC 27516, USA.
Clin Perinatol. 2017 Sep;44(3):567-582. doi: 10.1016/j.clp.2017.05.002.
Each year, approximately 2.7 million babies die during the neonatal period; more than 90% of these deaths occur in developing countries, largely from preventable causes. The known, evidence-based, simple, low-cost interventions that may improve neonatal survival often have low or unknown baseline coverage rates. Gaps in coverage of essential interventions and in quality of care may be amenable to improvement strategies. However, often these gaps are not easily identified. A variety of international organizations have recommended key indicators of quality and established roadmaps for improving neonatal outcomes. Quality improvement at the facility level is an area for future investment.
每年约有270万婴儿在新生儿期死亡;其中90%以上的死亡发生在发展中国家,主要是由可预防的原因导致的。那些已知的、有循证依据的、简单且低成本的可提高新生儿存活率的干预措施,其基线覆盖率往往较低或不明。基本干预措施的覆盖率和护理质量方面的差距或许可通过改进策略加以改善。然而,这些差距往往不易被发现。多个国际组织已推荐了关键质量指标并制定了改善新生儿结局的路线图。机构层面的质量改进是未来的一个投资领域。