[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):017-20.[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):017-20.[doi:10.13912/j.cnki.chqm.2022.29.5.05 ]
点击复制

标准化快速反应团队提高紧急剖宫产救治质量
分享到:

《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:
017-20
栏目:
特别关注
出版日期:
2022-05-28

文章信息/Info

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 XirongGUI YuyanLI 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:

[1]胡 蓉,李笑天.紧急剖宫产流程建立与实践[J].中国实用妇科与产科杂志, 2019, 35(9): 993-996. [2]SOLTANIFAR S, RUSSELL R. The National Institute for Health and Clinical Excellence (NICE) guidelines for caesarean section, 2011 update: implications for the anaesthetist[J].Int J Obstet Anesth,2012,21(3):264-272. [3]居晓庆,汪 云,钟 韵,等.快速反应团队5 min紧急剖宫产在降低决定手术至胎儿娩出的时间间隔中的价值分析[J].实用临床医药杂志,2019,23(14): 64-67. [4]刘慧娟,田路路.5 min紧急反应机制降低急诊剖宫产终止妊娠产妇DDI的价值及其对新生儿结局的影响[J].实用临床医学,2020,21(11):41-42. [5]黄海香,李海燕,林秋琼,等.综合护理干预对妊娠合并症或并发症患者母婴结局的影响[J].广东医科大学学报,2020,38(1):119-121. [6]LINGARD L,ESPIN S,WHYTE S,et al.Communication failures in the operating room: an observational classification of recurrent types and effects[J].Qual Saf Health Care,2004,13(5):330-334. [7]BORIBOONHIRUNSARN D,SUNSANEEVITHAYAKUL P.A specific protocol to shorten the decision-to-delivery interval for emergency caesarean section[J].J Obstet Gynaecol,2021,15:1-5. [8]DEGU AYELE A,GETNET KASSA B,NIBRET MIHRETIE G,et al.Decision to delivery interval,fetal outcomes and its factors among emergency caesarean section deliveries at South Gondar Zone Hospitals, Northwest Ethiopia: retrospective cross-sectional study,2020[J].Int J Womens Health,2021,13:395-403. [9]KITAW TM,LIMENH SK,CHEKOLE FA,et al. Decision to delivery interval and associated factors for emergency cesarean section: a cross-sectional study[J].BMC Pregnancy Childbirth,2021,21(1): 224. [10]韩 炜,胡 盈,石紫云,等.急危重孕产妇三级抢救网络平台搭建与运行实践[J].中国卫生质量管理, 2016,26(3): 33-35.

更新日期/Last Update: 2022-05-28