对非致命的严重孕产妇并发症的审查系统:一个范围审查
Rebecca J Seymour1, Rohan D'Souza1,2, Tegwende Seedu2
1Department of Obstetrics & Gynecology, McMaster University, Hamilton, Canada.
Obstetric medicine
|March 16, 2026
概括
对严重孕产妇并发症 (SMC) 的评论各不相同. 需要改进的指导,以提供一致,高质量和以人为中心的SMC审查,以提高孕产妇护理质量.
科学领域:
- 产科和妇科 产科和妇科
- 提高孕产妇健康质量 改善孕产妇健康质量
- 医疗保健质量和安全研究 医疗保健质量和安全研究
背景情况:
- 非致命的严重孕产妇并发症 (SMC) 是评估医疗保健质量的关键领域.
- 审查SMC是识别孕产妇保健改善领域的关键策略.
- 目前审查SMC的做法需要全面的映射来理解现有的方法.
研究的目的:
- 进行范围审查,绘制和描述关于非致命的SMC审查实践的当前证据.
- 确定全球SMC审查中使用的方法的变化和差距.
主要方法:
- 在四个主要数据库和灰色文献中进行了系统的搜索.
- 选标题和摘要,然后对包含的文章进行参考清单评估.
- 数据提取使用了一种工具,其中包含9个具体问题,重点关注SMC审查流程.
主要成果:
- 总共有44篇文章被纳入了审查.
- 在方法上观察到显著的异质性,包括案例定义,审查团队组成,数据收集和传播策略.
- 在审查团队的培训和支持,事件分析和建议制定方面,注意到了差异.
结论:
- 现有的审查严重孕产妇并发症的方法表现出相当大的差异.
- 需要标准化指导来促进支持性,以人为中心和高质量的SMC审查.
- 发展最佳实践对于各种医疗保健机构来说至关重要,以改善孕产妇的结果.
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