Triggers, bundles, protocols, and checklists-what every maternal care provider needs to know

被引:60
作者
Arora, Kavita Shah [1 ]
Shields, Larry E. [2 ,3 ]
Grobman, William A. [4 ]
D'Alton, Mary E. [5 ]
Lappen, Justin R. [1 ]
Mercer, Brian M. [1 ]
机构
[1] Case Western Reserve Univ, MetroHealth Med Ctr, Dept Obstet & Gynecol, Cleveland, OH 44106 USA
[2] Dign Hlth, Patient Safety, San Francisco, CA USA
[3] Marian Reg Med Ctr, Maternal Fetal Med, Santa Maria, RS, Brazil
[4] Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Chicago, IL 60611 USA
[5] Columbia Univ, Med Ctr, Dept Obstet & Gynecol, New York, NY USA
关键词
obstetric quality; patient safety; quality improvement; WARNING SYSTEM; HEMORRHAGE; MORBIDITY; VALIDATION; DELIVERY;
D O I
10.1016/j.ajog.2015.10.011
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The rise in maternal morbidity and mortality has resulted in national and international attention at optimally organizing systems and teams for pregnancy care. Given that maternal morbidity and mortality can occur unpredictably in any obstetric setting, specialists in general obstetrics and gynecology along with other primary maternal care providers should be integrally involved in efforts to improve the safety of obstetric care delivery. Quality improvement initiatives remain vital to meeting this goal. The evidence-based utilization of triggers, bundles, protocols, and checklists can aid in timely diagnosis and treatment to prevent or limit the severity of morbidity as well as facilitate interdisciplinary, patient-centered care. The purpose of this document is to summarize the pertinent elements from this forum to assist primary maternal care providers in their utilization and implementation of these safety tools.
引用
收藏
页码:444 / 451
页数:8
相关论文
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