[1]肖喜荣桂玉燕李笑天.标准化快速反应团队提高紧急剖宫产救治质量[J].中国卫生质量管理,2022,29(05):17-20.[doi:10.13912/j.cnki.chqm.2022.29.5.05 ]
　XIAO Xirong,GUI Yuyan,LI Xiaotian.Standardized Rapid Response Team to Improve the Quality of Emergency Cesarean Section Treatment[J].Chinese Health Quality Management,2022,29(05):17-20.[doi:10.13912/j.cnki.chqm.2022.29.5.05 ]

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标准化快速反应团队提高紧急剖宫产救治质量

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年05期页码: 17-20 栏目: 特别关注出版日期: 2022-05-28

Title:: Standardized Rapid Response Team to Improve the Quality of Emergency Cesarean Section Treatment

作者:: 肖喜荣桂玉燕李笑天; 复旦大学附属妇产科医院

Author(s):: XIAO Xirong; GUI Yuyan; LI Xiaotian; Obstetrics and Gynecology Hospital of Fudan University

关键词:: 紧急剖宫产; 快速反应团队; 决定手术至胎儿娩出时间; 产科质量

Keywords:: Emergency Cesarean Section; Rapid Response Team; Decision to Delivery Interval; Quality of Obstetrics Department

分类号:: R197;R714

DOI:: 10.13912/j.cnki.chqm.2022.29.5.05

文献标志码:: B

摘要:: 行之有效的组织及工作流程是保证紧急剖宫产安全快速实施的基础。复旦大学附属妇产科医院在组建紧急剖宫产快速反应团队基础上，制定了团队角色卡，明确了团队成员职责，并组织开展周期性模拟演练，缩短了紧急剖宫产决定手术至进入手术室时间、决定手术至开始切皮时间以及决定手术至胎儿娩出时间，且所有产妇决定手术至胎儿娩出时间均在30 min以内。但新生儿窒息情况未显著改善，仍需大样本数据进一步证实标准化快速反应团队对新生儿结局的影响。

Abstract:: Effective organization and work flow are the basis for ensuring the safe and rapid implementation of emergency cesarean section. On the basis of establishing a rapid response team for emergency cesarean section, Obstetrics and Gynecology Hospital of Fudan University formulated the team role card, defined the responsibilities of team members, and organized periodic simulation exercises to shorten, the time from decision to operation-room interval, and the time from decision to incision interval,the Decision to Delivery Interval (DDI).And all the DDIs were within 30 minutes. However, neonatal asphyxia had not been significantly improved, and large sample data were still needed to further confirm the impact of standardized rapid response team on neonatal outcomes.

参考文献/References:

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更新日期/Last Update: 2022-05-28