Lefebvre Guylaine, Calder Lisa A, De Gorter Ria, Bowman Cara L, Bell Douglas, Bow Michael
The Canadian Medical Protective Association, Ottawa, ON.
The Canadian Medical Protective Association, Ottawa, ON; Ottawa Hospital Research Institute, Ottawa, ON.
J Obstet Gynaecol Can. 2019 May;41(5):653-659. doi: 10.1016/j.jogc.2019.02.011. Epub 2019 Mar 11.
This paper describes the recommendations of a national panel on quality improvement in obstetrics to identify priorities for action among five areas of greatest medico-legal risk. Using previously conducted medico-legal data analyses and a systematic literature review, the panel reviewed existing data and developed recommendations for areas of focus in quality improvement in five obstetrical high-risk areas. The panel recommended clarification of definitions in some areas, identified needs for data collection and standardization of practices in others. The most promising interventions to improve care in the five areas were grouped into: standardized processes (such as protocols and communication tools), checklists, audit and feedback, mentoring and coaching, inter-professional communication, simulation and training, and shared decision making guides. This national panel of experts created 18 action-oriented recommendations focused on quality improvement to reduce medico-legal risk and improve the safety of care for Canadian mothers and babies.
本文介绍了一个全国产科质量改进小组的建议，以确定五个最大医疗法律风险领域中的行动重点。该小组利用先前进行的医疗法律数据分析和系统的文献综述，审查了现有数据，并针对五个产科高风险领域的质量改进重点领域制定了建议。该小组建议在某些领域澄清定义，在其他领域确定数据收集需求和实践标准化需求。在这五个领域改善护理的最有前景的干预措施分为：标准化流程（如方案和沟通工具）、检查表、审核与反馈、指导与辅导、跨专业沟通、模拟与培训以及共同决策指南。这个全国专家小组提出了18项以行动为导向的建议，重点是质量改进，以降低医疗法律风险，提高加拿大母婴护理的安全性。
