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妊娠期重度高血压:在患者安全、质量改进及实施患者安全综合措施方面取得的进展与未来方向

Severe Hypertension in Pregnancy: Progress Made and Future Directions for Patient Safety, Quality Improvement, and Implementation of a Patient Safety Bundle.

作者信息

Prior Alissa, Taylor Isabel, Gibson Kelly S, Allen Christie

机构信息

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, The MetroHealth System, Cleveland, OH 44109, USA.

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University Hospitals, Cleveland, OH 44106, USA.

出版信息

J Clin Med. 2024 Aug 23;13(17):4973. doi: 10.3390/jcm13174973.

DOI:10.3390/jcm13174973
PMID:39274186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11396117/
Abstract

Hypertensive disorders of pregnancy account for approximately 5% of pregnancy-related deaths in the United States and are one of the leading causes of maternal morbidity. Focus on improving patient outcomes in the setting of hypertensive disorders of pregnancy has increased in recent years, and quality improvement initiatives have been implemented across the United States. This paper discusses patient safety and quality initiatives for hypertensive disorders of pregnancy, with an emphasis on progress made and a patient safety tool: the Alliance for Innovation on Maternal Health's Severe Hypertension in Pregnancy patient safety bundle. Future patient safety and quality directions for the treatment of hypertensive disorders of pregnancy will be reviewed.

摘要

妊娠高血压疾病约占美国与妊娠相关死亡病例的5%,是孕产妇发病的主要原因之一。近年来,人们愈发关注改善妊娠高血压疾病患者的治疗效果,美国各地也纷纷实施了质量改进举措。本文讨论了妊娠高血压疾病的患者安全与质量改进举措,重点介绍了已取得的进展以及一种患者安全工具:孕产妇健康创新联盟的妊娠重度高血压患者安全综合方案。还将探讨未来妊娠高血压疾病治疗中患者安全与质量方面的发展方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e01/11396117/ec9895a1f302/jcm-13-04973-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e01/11396117/ec9895a1f302/jcm-13-04973-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e01/11396117/ec9895a1f302/jcm-13-04973-g001.jpg

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本文引用的文献

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Reducing severe maternal morbidity for birthing persons with severe hypertension through a statewide quality improvement initiative.通过一项全州范围的质量改进计划,降低患有严重高血压的产妇的严重孕产妇发病率。
Am J Obstet Gynecol. 2025 Jan;232(1):128.e1-128.e9. doi: 10.1016/j.ajog.2024.04.026. Epub 2024 Apr 30.
2
Using self-monitoring to detect and manage raised blood pressure and pre-eclampsia during pregnancy: the BUMP research programme and its impact.使用自我监测来检测和管理怀孕期间的高血压和子痫前期:BUMP 研究计划及其影响。
Hypertens Res. 2024 Mar;47(3):714-720. doi: 10.1038/s41440-023-01474-w. Epub 2023 Dec 7.
3
Perinatal Outcomes Associated With Management of Stage 1 Hypertension.
与1期高血压管理相关的围产期结局
Obstet Gynecol. 2023 Dec 1;142(6):1395-1404. doi: 10.1097/AOG.0000000000005410. Epub 2023 Sep 28.
4
Society for Maternal-Fetal Medicine Special Statement: Prophylactic low-dose aspirin for preeclampsia prevention-quality metric and opportunities for quality improvement.母胎医学会特别声明:预防子痫前期的预防性低剂量阿司匹林——质量指标和质量改进机会。
Am J Obstet Gynecol. 2023 Aug;229(2):B2-B9. doi: 10.1016/j.ajog.2023.04.039. Epub 2023 May 4.
5
The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic.俄亥俄州产妇安全质量改进项目:在 COVID-19 大流行期间实施的全州围产期高血压质量改进倡议的初步结果。
Am J Obstet Gynecol MFM. 2023 Jun;5(6):100912. doi: 10.1016/j.ajogmf.2023.100912. Epub 2023 Mar 30.
6
Beyond the equity project: grounding equity in all quality improvement efforts.超越公平项目:将公平理念融入所有质量改进工作之中。
BMJ Qual Saf. 2023 Mar;32(3):129-132. doi: 10.1136/bmjqs-2022-015858. Epub 2022 Dec 26.
7
Timely treatment of severe hypertension and risk of severe maternal morbidity at an urban hospital.及时治疗重度高血压与城市医院严重产妇发病率风险
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Nonadherence to treatment protocol for severe hypertension in pregnancy.妊娠期重度高血压治疗方案的不依从性。
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