解决产房的质量改进问题。
Tackling Quality Improvement in the Delivery Room.
作者信息
Lapcharoensap Wannasiri, Lee Henry C
机构信息
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.
出版信息
Clin Perinatol. 2017 Sep;44(3):663-681. doi: 10.1016/j.clp.2017.05.003. Epub 2017 Jul 14.
Abstract
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.
摘要
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。
相似文献
1
Tackling Quality Improvement in the Delivery Room.解决产房的质量改进问题。
Clin Perinatol. 2017 Sep;44(3):663-681. doi: 10.1016/j.clp.2017.05.003. Epub 2017 Jul 14.
2
Interdisciplinary simulation-based training to improve delivery room communication.跨学科基于模拟的培训以改善产房沟通。
Simul Healthc. 2013 Oct;8(5):279-91. doi: 10.1097/SIH.0b013e31829543a3.
3
Anticipation and preparation for every delivery room resuscitation.为每一次产房复苏做好预测和准备。
Semin Fetal Neonatal Med. 2018 Oct;23(5):312-320. doi: 10.1016/j.siny.2018.06.004. Epub 2018 Jul 6.
4
Dedicated neonatal retrieval teams improve delivery room resuscitation of outborn premature infants.专业的新生儿转运团队可改善院外早产婴儿的产房复苏情况。
J Perinatol. 2005 May;25(5):309-14. doi: 10.1038/sj.jp.7211263.
5
Quality improvement for neonatal resuscitation and delivery room care.新生儿复苏和产房护理的质量改进。
Semin Perinatol. 2022 Oct;46(6):151629. doi: 10.1016/j.semperi.2022.151629. Epub 2022 May 21.
6
Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative.在多新生儿重症监护病房质量改进协作项目中实施产房检查表和沟通标准。
Jt Comm J Qual Patient Saf. 2016 Aug;42(8):369-76. doi: 10.1016/s1553-7250(16)42052-0.
7
Simulation to Support Standardization of Delivery Room Management of the Very Low Birth-Weight Infant.支持极低出生体重儿产房管理标准化的模拟。
Adv Neonatal Care. 2021 Dec 1;21(6):E153-E161. doi: 10.1097/ANC.0000000000000768.
8
Promoting teamwork may improve infant care processes during delivery room management: Florida perinatal quality collaborative's approach.在产房管理中促进团队合作可能会改善婴儿护理流程：佛罗里达围产期质量协作组织的方法。
J Perinatol. 2017 Jul;37(7):886-892. doi: 10.1038/jp.2017.27. Epub 2017 Apr 13.
9
A Framework to Harness the Power of Quality Collaboratives to Improve Perinatal Outcomes.利用质量协作的力量改善围产期结局的框架
Clin Obstet Gynecol. 2019 Sep;62(3):606-620. doi: 10.1097/GRF.0000000000000462.
10
Quality patient care in labor and delivery: a call to action.分娩期的优质患者护理：行动呼吁。
J Obstet Gynecol Neonatal Nurs. 2012 Jan;41(1):4. doi: 10.1111/j.1552-6909.2011.01326.x.
引用本文的文献
1
Nurse Perceptions of Barriers to Infection Prevention and Control in Labor and Delivery.护士对分娩过程中感染预防与控制障碍的认知
J Obstet Gynecol Neonatal Nurs. 2025 Mar;54(2):210-218. doi: 10.1016/j.jogn.2024.10.001. Epub 2024 Nov 7.
2
Quality improvement initiative: implementing and redefining video review of real-time neonatal procedures using action research.质量改进计划：使用行动研究实施和重新定义实时新生儿操作的视频审查。
BMJ Open Qual. 2024 May 15;13(2):e002588. doi: 10.1136/bmjoq-2023-002588.
3
Equipment preparedness for neonatal resuscitation in neonatal intensive care unit in resource limited setting: cross-sectional study.资源有限环境下新生儿重症监护病房新生儿复苏设备的准备情况：横断面研究
Ann Med Surg (Lond). 2024 Feb 28;86(4):1915-1919. doi: 10.1097/MS9.0000000000001801. eCollection 2024 Apr.
4
Improving quality of intrapartum and immediate postpartum care in public facilities: experiences and lessons learned from Rajasthan state, India.提高公立医疗机构的分娩期和产后即刻护理质量：印度拉贾斯坦邦的经验和教训。
BMC Pregnancy Childbirth. 2022 Jul 23;22(1):586. doi: 10.1186/s12884-022-04888-5.
5
Distinguishing High-Performing From Low-Performing Hospitals for Severe Maternal Morbidity: A Focus on Quality and Equity.区分严重孕产妇发病率高绩效和低绩效医院：关注质量和公平。
Obstet Gynecol. 2022 Jun 1;139(6):1061-1069. doi: 10.1097/AOG.0000000000004806. Epub 2022 May 2.
6
Ergonomic Challenges Inherent in Neonatal Resuscitation.新生儿复苏中固有的人体工程学挑战。
Children (Basel). 2019 Jun 3;6(6):74. doi: 10.3390/children6060074.
本文引用的文献
1
Effects of delivery room quality improvement on premature infant outcomes.产房质量改善对早产儿结局的影响。
J Perinatol. 2017 Apr;37(4):349-354. doi: 10.1038/jp.2016.237. Epub 2016 Dec 22.
2
Thematic analysis of barriers and facilitators to implementation of neonatal resuscitation guideline changes.新生儿复苏指南变更实施的障碍与促进因素的主题分析
J Perinatol. 2017 Mar;37(3):249-253. doi: 10.1038/jp.2016.217. Epub 2016 Dec 1.
3
Emergency Video Telemedicine Consultation for Newborn Resuscitations: The Mayo Clinic Experience.新生儿复苏的紧急视频远程医疗会诊：梅奥诊所的经验
Mayo Clin Proc. 2016 Dec;91(12):1735-1743. doi: 10.1016/j.mayocp.2016.08.006. Epub 2016 Nov 22.
4
Update on simulation for the Neonatal Resuscitation Program.新生儿复苏项目模拟的最新情况
Semin Perinatol. 2016 Nov;40(7):447-454. doi: 10.1053/j.semperi.2016.08.005. Epub 2016 Nov 4.
5
Timely implementation of a retinopathy of prematurity telemedicine system.及时实施早产儿视网膜病变远程医疗系统。
J AAPOS. 2016 Oct;20(5):425-430.e1. doi: 10.1016/j.jaapos.2016.06.007. Epub 2016 Sep 17.
6
Redesigning an airway cart using lean methodology.运用精益方法重新设计气道推车。
J Clin Anesth. 2016 Sep;33:273-82. doi: 10.1016/j.jclinane.2016.04.025. Epub 2016 May 18.
7
Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative.在多新生儿重症监护病房质量改进协作项目中实施产房检查表和沟通标准。
Jt Comm J Qual Patient Saf. 2016 Aug;42(8):369-76. doi: 10.1016/s1553-7250(16)42052-0.
8
Telemedicine REsuscitation and Arrest Trial (TREAT): A feasibility study of real-time provider-to-provider telemedicine for the care of critically ill patients.远程医疗复苏和骤停试验（TREAT）：一项实时医护人员间远程医疗用于危重症患者护理的可行性研究。
Heliyon. 2016 Apr 20;2(4):e00099. doi: 10.1016/j.heliyon.2016.e00099. eCollection 2016 Apr.
9
Identifying improvements for delivery room resuscitation management: results from a multicenter safety audit.确定产房复苏管理的改进措施：一项多中心安全审核的结果
Matern Health Neonatol Perinatol. 2015 Jan 22;1:2. doi: 10.1186/s40748-014-0006-x. eCollection 2015.
10
The impact of ambient operating room temperature on neonatal and maternal hypothermia and associated morbidities: a randomized controlled trial.手术室环境温度对新生儿和产妇体温过低及相关发病率的影响：一项随机对照试验。
Am J Obstet Gynecol. 2016 Apr;214(4):505.e1-505.e7. doi: 10.1016/j.ajog.2016.01.190. Epub 2016 Feb 10.
Zotero 插件