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产科模拟应对大流行。

Obstetric simulation for a pandemic.

机构信息

Department of Obstetrics and Gynecology, Walter Reed National Military Medical Center, 104 Wood Rd, Bethesda, MD, USA.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Children's Hospital of San Antonio, 333 N Santa Rosa St, San Antonio, TX, USA.

出版信息

Semin Perinatol. 2020 Oct;44(6):151294. doi: 10.1016/j.semperi.2020.151294. Epub 2020 Jul 23.

DOI:10.1016/j.semperi.2020.151294
PMID:32863048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7376342/
Abstract

OBJECTIVE

In the middle of the COVID-19 pandemic, guidelines and recommendations are rapidly evolving. Providers strive to provide safe high-quality care for their patients in the already high-risk specialty of Obstetrics while also considering the risk that this virus adds to their patients and themselves. From other pandemics, evidence exists that simulation is the most effective way to prepare teams, build understanding and confidence, and increase patient and provider safety.

FINDING

Practicing in-situ multidisciplinary simulations in the hospital setting has illustrated key opportunities for improvement that should be considered when caring for a patient with possible COVID-19.

CONCLUSION

In the current COVID-19 pandemic, simulating obstetrical patient care from presentation to the hospital triage through postpartum care can prepare teams for even the most complicated patients while increasing their ability to protect themselves and their patients.

摘要

目的

在 COVID-19 大流行期间,指南和建议正在迅速发展。医护人员努力为他们的患者提供安全、高质量的产科护理,同时考虑到这种病毒给患者和自身带来的风险。从其他大流行中可以看出,模拟是团队准备、建立理解和信心以及提高患者和医护人员安全性的最有效方法。

发现

在医院环境中进行现场多学科模拟,为护理疑似 COVID-19 患者提供了一些关键的改进机会。

结论

在当前的 COVID-19 大流行期间,模拟从患者出现到医院分诊再到产后护理的产科患者护理,可以为团队准备好应对即使是最复杂的患者,同时提高他们保护自己和患者的能力。

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Management of Critically Ill Adults With COVID-19.新型冠状病毒肺炎危重症成人患者的管理
JAMA. 2020 May 12;323(18):1839-1841. doi: 10.1001/jama.2020.4914.
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Postpartum Magnesium Sulfate Overdose: A Multidisciplinary and Interprofessional Simulation Scenario.产后硫酸镁过量:一个多学科和跨专业的模拟场景
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What is the impact of multidisciplinary team simulation training on team performance and efficiency of patient care? An integrative review.多学科团队模拟培训对团队绩效和患者护理效率有何影响?一项综合综述。
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Intensive care medical procedures are more complicated, more stressful, and less comfortable with Ebola personal protective equipment: A simulation study.重症监护医疗程序在使用埃博拉个人防护装备时更复杂、压力更大且舒适度更低:一项模拟研究。
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