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30min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。
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.
作者
肖喜荣
桂玉燕
李笑天
XIAO Xirong;GUI Yuyan;LI Xiaotian(Obstetrics and Gynecology Hospital of Fudan University,Shanghai,200032,China;不详)
出处
《中国卫生质量管理》
2022年第5期17-20,共4页
Chinese Health Quality Management
基金
国家自然科学基金面上项目(81871183)
上海市松江区科学技术攻关项目(医药卫生类)(21SJKJGG64)。
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
Emergency Cesarean Section
Rapid Response Team
Decision to Delivery Interval
Quality of Obstetrics Department
