Kilpatrick Sarah J
Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California.
Clin Obstet Gynecol. 2018 Jun;61(2):340-346. doi: 10.1097/GRF.0000000000000351.
Cases of severe maternal morbidity (SMM) share similarities to maternal deaths, including increasing in frequency and having similar rates of preventability. This article will review steps to organizing and implementing standard reviews of all cases of SMM. These steps include create multidisciplinary SMM review committee; identify potential SMM cases and confirm true SMM; identify the morbidity; abstract and summarize data; present case to review committee for discussion; determine events leading to morbidity; determine opportunities to improve outcome; assess provider, system and patient factors in cases with opportunities to improve outcome; make recommendations; and effect change and evaluate improvement.
严重孕产妇发病（SMM）病例与孕产妇死亡有相似之处，包括发生率上升以及可预防性比率相似。本文将回顾组织和实施所有SMM病例标准审查的步骤。这些步骤包括组建多学科SMM审查委员会；识别潜在的SMM病例并确认真正的SMM；识别发病情况；提取和汇总数据；将病例提交审查委员会进行讨论；确定导致发病的事件；确定改善结局的机会；评估有改善结局机会的病例中的医疗服务提供者、系统和患者因素；提出建议；以及实现变革并评估改善情况。
