相关实验视频
Updated: Jun 28, 2025

08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
14.5K
实施一套基于证据的剖腹产产品可能不会像预期的那样有益:一个多中心的,研究前和研究后的
Erin S Huntley1, Benjamin J F Huntley1, Miguel Bonilla Moreno2
1Department of Obstetrics, Gynecology and Reproductive Sciences, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX.
American journal of obstetrics and gynecology
|April 10, 2024
概括
捆绑基于证据的剖腹产措施适度降低了孕产妇的发病率,但矛盾的是增加了新生儿发病率. 目前不建议将这些步骤正式捆绑在一起,尽管单个步骤可能具有价值.
科学领域:
- 产科和妇科 产科和妇科
- 改善外科手术的质量
- 实施科学 实施科学
背景情况:
- 手术程序的标准化可以提高患者的治疗结果.
- 系统性审查已经确定了剖腹产的基于证据的步骤,但尚未研究它们的捆绑实施.
研究的目的:
- 评估与外科医生偏好相比,实施剖腹产捆绑式基于证据的步骤对孕产妇和新生儿结果的影响.
主要方法:
- 在四个教学医院进行了多中心的实施前和实施后试验.
- 产妇和新生儿综合发病率分别是主要和次要结局.
- 用贝叶斯逻辑回归来分析结果,先行计算样本大小.
主要成果:
- 在实施后,基于证据的步骤的遵守率从79%增加到89%.
- 综合性孕产妇发病率略有降低 (26%至22%),改善的概率为94%.
- 新生儿综合发病率呈现出矛盾的增加 (37%至41%),恶化的概率为95%.
结论:
- 将以证据为基础的剖腹产步骤捆绑在一起,导致孕产妇发病率略有下降,但新生儿发病率有所增加.
- 虽然基于证据的个别步骤可能是有益的,但目前不建议将这些步骤正式捆绑起来.
相关概念视频
Methods of Documentation V: CBE
900
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
900
Nursing Clinical Information System
771
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
771
Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570

