Lapcharoensap Wannasiri, Lee Henry C
Department of Pediatrics, CDRCP, Oregon Health & Science University, 707 Southwest Gaines Street, Portland, OR 97239, USA.
Department of Pediatrics, California Perinatal Quality Care Collaborative, Stanford University, 1265 Welch Road, Stanford, CA 94305, USA.
Clin Perinatol. 2017 Sep;44(3):663-681. doi: 10.1016/j.clp.2017.05.003. Epub 2017 Jul 14.
Implementation of standardized practices in the delivery room fosters a safe environment to ensure that newborn infants are cared for optimally, whether or not they require extensive resuscitation. Quality improvement (QI) is an excellent methodology for implementation of standardized practices due to the multidisciplinary nature of the delivery room, complexity of tasks involved, and opportunities to track processes and outcomes. This article discusses how the delivery room is a unique environment and presents examples on how to approach delivery room QI. Key areas of potential focus for teams pursuing delivery QI include thermal regulation, optimizing respiratory support, and facilitating team communication.
在产房实施标准化操作有助于营造一个安全的环境,以确保无论新生儿是否需要广泛的复苏,都能得到最佳护理。由于产房具有多学科性质、所涉及任务的复杂性以及跟踪流程和结果的机会,质量改进(QI)是实施标准化操作的一种出色方法。本文讨论了产房是一个独特的环境,并举例说明了如何进行产房质量改进。追求产房质量改进的团队可能关注的关键领域包括体温调节、优化呼吸支持以及促进团队沟通。