弥合孕产妇护理的差距:评估LaQshya (实验室质量改善倡议) 在三级医院的实施
Alka Jatkar1, Gaurang N Narayan2, Monika Akare1
1Obstetrics and Gynecology, Indira Gandhi Government Medical College and Hospital, Nagpur, IND.
通过针对性的干预,LaQshya计划改善了三级医院的孕产妇和新生儿护理质量. 虽然患者权利和临床实践得到了加强,但质量管理和基础设施方面的挑战仍然存在,需要持续关注.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 孕产妇和新生儿护理
背景情况:
- 劳动室质量改善计划 (LaQshya) 计划旨在提高分娩室和产妇外科医院的产妇和新生儿护理质量.
- 本研究评估了印度一家三级转诊医院的LaQshya实施情况,评估了合规性,确定了优势和缺陷,并衡量了干预的影响.
研究的目的:
- 评估LaQshya计划在第三级转诊医院的实施和影响.
- 评估基础设施,临床和运营是否符合LaQshya指南.
- 识别优势和弱点,探索患者和工作人员的看法.
主要方法:
- 在印度拉·甘地政府医学院和医院 (IGGMCH) 进行了一项准实验性的前后混合方法研究.
- 数据收集涉及现场观察,记录审查,与50名医疗保健专业人员进行结构化访谈以及使用LaQshya合规清单.
- 用主题分析分析分析了定性访谈,并与定量发现进行整体解释.
主要成果:
- 基线LaQshya合规得分低于70%的门 (分娩室:48%,产妇OT:56%).
- 干预措施导致部分仪使用 (0%至78%),遵守手部卫生 (36%至74%) 和患者满意度 (3.1至4.2/5) 显著改善.
- 优势包括服务提供和患者权利;在质量管理,感染控制和应急准备方面存在关键差距.
结论:
- 通过有针对性的干预,LaQshya计划显然改善了母亲和新生儿护理的几个质量领域.
- 在人员,质量管理和基础设施维护方面的持续挑战需要持续关注和投资.
- 持续的能力建设,定期的审计和强有力的感染控制对于实现和保持LaQshya合规至关重要.
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