引进安全分娩核查表风险管理模式在产科中的应用

The Application of Risk Management Model in Obstetrics and Gynecology by Introducing Safe Delivery Checklist

目的探讨基于安全分娩核查表的风险管理模式在产科临床中的应用效果。方法评估晋江市医院常规风险管理(2022年7月至2023年3月)和基于安全分娩核查表的表格化风险管理(2023年4月至2023年12月)两个时段助产士护理安全相关工作质量,统计两个时段助产士护理差错与护理不良事件发生情况以及母婴围生期并发症发生率。结果表格化风险管理期间,助产士护理流程规范性、护理安全制度落实、抢救药品及仪器使用管理、抢救护理的护理质量评分均高于常规风险管理,护理差错与护理不良事件平均发生次数少于常规风险管理,产妇难产、产后出血与感染的发生率以及新生儿胎儿期宫内窘迫与新生儿窒息的发生率低于常规风险管理(P<0.05)。结论将安全分娩检查表引入产科风险管理工作中,可以有效提升科室安全护理质量,减少护理差错与不良事件,降低护理风险,对减少母婴围生期并发症也具有积极作用。

Objective To explore the application effectiveness of a risk management model based on a safety delivery checklist in obstetric clinical practice.Methods To assess the quality of nursing safety related work for midwives in two periods:routine risk management(July 2022 to March 2023)and tabular risk management based on safety delivery checklists(April 2023 to December 2023)in Jinjiang Hospital.Analyze the occurrence of nursing errors and adverse events among midwives during the two periods,as well as the incidence of maternal and neonatal complications.Results During the period of tabular risk management,the standardization of midwife nursing processes,implementation of nursing safety systems,management of rescue drugs and instruments,and nursing quality scores for rescue nursing were all higher than those of conventional risk management.The average number of nursing errors and adverse events was lower than that of conventional risk management.The incidence of difficult childbirth,postpartum hemorrhage and infection,as well as the incidence of intrauterine distress and neonatal asphyxia in the neonatal fetal period were lower than those of conventional risk management(P<0.05).Conclusions Introducing safety delivery checklists into obstetric risk management can effectively improve the quality of departmental safety nursing,reduce nursing errors and adverse events,lower nursing risks,and have a positive effect on reducing maternal and neonatal complications.