正确评估产后出血医疗质量的探讨

A More Logical Method for the Assessment of Postpartum Hemorrhage

分析某区级医院妇产科２年内住院分娩的１８５８名产妇中１９例产后出血的医疗质量评审情况，按传统方法评审为可避免、创造条件可避免、不可避免者分别为７例、５例和７例。鉴于该传统方法中评审者的主观因素常占较多成份而影响评审结果的准确性，作者首次提出采用评审指标加权量化计分法。经试用该１９例，不仅可科学纠正传统评审法中的人为误差，而且简便易推行。

Nineteen cases of postpartum hemorrhage from a total of 1858 deliveries during a 2-year period (1993～1994) in a district hospital went into assessment for retrospective re-evaluation.Traditional method was adopted yielding a result of 7 cases preventable,5 preventable under condition and 7 unpreventable,Due to the influence of subjective components of the traditional method on the result of the assessment,a more logical objective and quantitative method was proposed yielding a more appropriate result than the traditional one. This new method is simple and worthwhite for clinical use.