关于孕产妇健康的创新联盟:关于产科护理中败血症的共识包
Melissa E Bauer1, Catherine Albright, Malavika Prabhu
1Department of Anesthesiology and the Department of Obstetrics and Gynecology, Duke University, Durham, and the Department of Obstetrics and Gynecology, Wake Forest Baptist Health, Winston-Salem, North Carolina; the Division of Maternal-Fetal Medicine, University of Washington Medical Center, Seattle, Washington; the Division of Maternal-Fetal Medicine, Massachusetts General Hospital, Boston, Massachusetts; the American College of Obstetricians and Gynecologists and the Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC; END SEPSIS, the Department of Emergency Medicine and the Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, and the Department of Obstetrics & Gynecology and the Department of Anesthesiology, Weill Cornell Medicine, New York, New York; Health Policy Advantage LLC, Ballwin, Missouri; Sepsis Alliance, San Diego, and the California Maternal Quality Care Collaborative and the Department of Obstetrics and Gynecology, Stanford University, Stanford, California; Evidence-Based Practice, David. P. Blom Administrative Campus, OhioHealth, Columbus, Ohio; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; and the University of Michigan School of Nursing, Ann Arbor, Michigan.
产科护理中的败血症是孕产妇死亡的主要原因,特别影响少数群体. 早期识别和治疗对于预防败血症进展和改善母亲的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 患者安全 患者安全
背景情况:
- 败血症是美国孕产妇死亡的主要原因之一.
- 在黑人,亚洲/太平洋岛民和美洲印第安人/阿拉斯加原住民产科患者中观察到不成比例的高败血症率.
- 产妇死亡率审查委员会确定了由于延迟识别,治疗和护理升级而导致的可预防死亡.
研究的目的:
- 为协调,多学科的护理提供指导,以预防和治疗产科患者的败血症.
- 通过患者安全包来实施临床实践.
- 在孕产妇败血症护理中解决健康公平问题.
主要方法:
- 孕产妇健康创新联盟 (AIM) 开发的"产妇护理中的败血症"患者安全包.
- 包裹分为五个领域:准备,识别和预防,响应,报告和系统学习,尊重,公平和支持性护理.
- 将健康公平考虑纳入所有捆绑领域.
主要成果:
- 该包为医疗保健团队提供了一个框架,以管理孕妇和产后患者的败血症.
- 它强调感染预防和早期检测和治疗.
- 包裹促进尊重,公平和支持的护理.
结论:
- "产科护理中的败血症"包是减少孕产妇死亡率的重要工具.
- 实施这一捆绑可以提高患者的安全性和解决健康差异.
- 协调,公平的护理对于管理产科败血症至关重要.
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