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家庭医学住院医师培训中的质量改进项目：通过危险因素筛查和低剂量阿司匹林预防子痫前期。

A Quality Improvement Project in Family Medicine Residency Training: Improving Preeclampsia Prevention Through Risk Factor Screening and Low-Dose Aspirin.

机构信息

All authors are with the Scripps Mercy Family Medicine Residency Program, Chula Vista, CA.

出版信息

Am J Public Health. 2024 May;114(S4):S318-S321. doi: 10.2105/AJPH.2024.307667.

DOI:10.2105/AJPH.2024.307667
PMID:38748955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11096769/
Abstract

Providing aspirin during pregnancy is a critical intervention proven to reduce the rates of preeclampsia in patients at risk. This quality improvement project prepared family medicine residents to use public health strategies to improve screening of pregnant patients at risk for preeclampsia in an underserved population. A preeclampsia awareness campaign was launched utilizing a publicly available toolkit, while a multidisciplinary team implemented systemic clinical changes to increase the rates of preeclampsia risk factor screening and aspirin prescription to prevent preeclampsia. (. 2024;114(S4):S318-S321. https://doi.org/10.2105/AJPH.2024.307667).

摘要

为孕妇提供阿司匹林是一种经过验证的关键干预措施，可降低高危患者子痫前期的发生率。本质量改进项目使家庭医学住院医师能够利用公共卫生策略，提高服务不足人群中高危孕妇子痫前期筛查的质量。利用一个公共可用的工具包开展了子痫前期宣传活动，同时一个多学科小组实施了系统的临床改变，以提高子痫前期危险因素筛查和阿司匹林处方率，从而预防子痫前期。（2024；114（S4）：S318-S321。https://doi.org/10.2105/AJPH.2024.307667）。

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本文引用的文献

1
Hypertensive Disorders in Pregnancy and Mortality at Delivery Hospitalization - United States, 2017-2019.妊娠高血压疾病与分娩住院期间的死亡率 - 美国，2017-2019 年。
MMWR Morb Mortal Wkly Rep. 2022 Apr 29;71(17):585-591. doi: 10.15585/mmwr.mm7117a1.
2
Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: US Preventive Services Task Force Recommendation Statement.阿司匹林用于预防子痫前期及相关发病率和死亡率：美国预防服务工作组推荐声明。
JAMA. 2021 Sep 28;326(12):1186-1191. doi: 10.1001/jama.2021.14781.
3
ACOG Committee Opinion No. 743: Low-Dose Aspirin Use During Pregnancy.美国妇产科医师学会委员会意见 No.743：孕期低剂量阿司匹林的应用。
Obstet Gynecol. 2018 Jul;132(1):e44-e52. doi: 10.1097/AOG.0000000000002708.
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