妇产科医疗护理安全隐患分析及管理对策

目的:探讨妇产科医疗护理安全管理对策。方法 :通过规范化专业护理培训,来增强护理人员专业素养,以减少妇产科不安全因素的潜在威胁,使得护理人员整体护理质量得到升值,对妇产科存在的安全隐患进行分析,并提出相应解决对策,以供同行交流、切磋之用。结果:无1例不良事件,妇产科患者得到安全、优质护理。结论:医疗护理安全管理中,增强护理中的专业性及安全质量意识,可减少护理中可能出现的安全隐患,

完善流程管理对减少妇产科医疗缺陷的效果研究

目的研究在减少妇产科医疗缺陷中采取完善流程管理的临床效果以及应用价值。方法该次数据计算涉及的240例样本均参考不同管理方式进行平均分组,研究样本来源于2015年9月—2017年9月期间该院参与纳入的妇产科分娩产妇,将采取常规分娩流程管理产妇作为参照组,将采取完善分娩流程管理产妇作为实验组,比较验证参照组与实验组妇产科分娩产妇医疗重度缺陷、中度缺陷、轻度缺陷等发生率,口角相争、肢体接触、严重受伤等医疗纠纷发生程度以及医疗服务满意度。结果数据研究显示,实验组妇产科分娩产妇医疗重度缺陷发生率、中度缺陷发生率、轻度缺陷发生率、口角相争发生率、肢体接触发生率、服务满意度计算值与参照组对比差异有统计学意义(P<0.05)。结论将完善流程管理应用在减少妇产科医疗缺陷中疗效显著,可提升产妇服务满意度。

PDSA在云南省妇产科规范化医疗中的应用

随着我国规范化医疗的普及开展,妇产科领域的规范化培训更加提到日程上来,美国等发达国家开展了妇产科多层次多角度规范化培训,保障了医疗安全,值得我们借鉴。国内在这个领域才刚刚开始,作为边远省市的云南,如何根据我省实情,通过PDSA规范化开展妇产科领域的培训,谈一下我的看法。PDSA是通过计划;培训;学习;实践这四个过程周而复始进行规范化培训教育。

浅谈妇产科涉及的医疗护理安全问题与管理对策

目的:对妇产科护理中可能发生的安全问题进行进一步分析,对与其相应的管理对策做深化探讨,以达到控制护理全过程的目的。方法:选取我院2010年到2011年收治的100例妇产科患者,对各项护理风险进行分析,采取调查询问的方式对护理工作进行了解,探讨其中的不足及相关管理对策。结果:妇产科医疗护理过程中仍存在一系列安全隐患,主要表现在患者、护士、药物以及医疗技术等方面。结论:在护理工作中,医护人员必须从实际出发,就各个患者的护理要点进行探讨,以此为根据,施行一系列具有针对性的护理措施,以确保护理工作不流于形式。

妇产科涉及的医疗护理安全问题与管理对策

目的:妇产科在护理的过程中,会发生一些安全问题,对这些问题进行相应的探讨,并对其相应的管理做进一步的分析,进一步达到对护理进行全过程控制的目的。方法:对本院2011年2月至2011年6月收治的108例妇产科患者,对她们的各项护理风险做进一步分析,并且采用调查询问的方式,对护理工作做进一步的了解,对其中存在的不足之处以及相关管理对策进行分析。结果:妇产科医疗护理的过程中,仍然会存在一些安全隐患,具体表现在对护士、患者、医疗技术以及药物等几个方面。结论:医护人员在进行护理过程中,要根据实际情况,对每个患者的护理要点做进一步的探讨,并且以这个作为依据,实施具有针对性的护理对策,保证护理工作能够进一步落实,而不只是流于形式。

乡镇中心卫生院实施妊娠期糖尿病妇产科的医疗及护理方法探讨

研讨乡镇中心卫生院实施妊娠期糖尿病妇产科的医疗及护理方法。方法选取2022年3月-2023年3月本乡镇中心卫生院50名妊娠期糖尿病患者为研究对象,依照所实施的护理进行分组,常规组25例实施常规护理,实验组25例实验组实施妇产科医疗及护理方法。比较血糖控制效果、顺产率和Apgar得分;分娩时数和孕妇对妇产科护理服务的满意程度。结果 干预后实验组孕妇的血糖指标明显优于常规组,P<0.05;实验组顺产率和Apgar评分均显著优于常规组,P<0.05;实验组产程时间优于常规组,P<0.05;实验组护理服务满意度明显高于常规组,P<0.05。结论 乡镇中心卫生院实施妊娠期糖尿病妇产科护理方法、医疗服务,价值显著,可推广。

导致妇产科医疗纠纷的原因分析与防范措施

探究导致妇产科医疗纠纷的原因,并制定相关的防范措施。方法:回顾性分析自2015年1月-2016年12月在我院妇产科发生的医疗纠纷30例,分析产生医疗纠纷的原因并制定相关的防范措施。结果:将医疗纠纷分为四大类,医患之间缺乏沟通、医生专业技术问题、患者对妇产科知识存在一定的误区、医务人员法律知识淡薄,并根据这些医疗纠纷产生的原因制定相应的措施,包括提高医务人员自身专业素质、对患者及其家属进行相关知识的普及、提高医务人员的法律意识、加强医患之间的沟通,并增加医护人员的沟通技巧。结论:通过分析妇产科发生医疗纠纷的原因,并制定相应的政策,可以有效的缓解医疗紧张的环境。

Outcomes of surrogate pregnancies in California and hospital economics of surrogate maternity and newborn care

AIM:To describe maternity and newborn charges for an economic analysis of surrogate pregnancies on the health care resource utilization.METHODS:A retrospective chart review of all women identified as being surrogates and the infants born from these pregnancies was performed between January 1,2012 and December 31,2013.Selected maternity diagnoses,mode of delivery,duration of hospitalization,and hospital charges were collected together with infants' birth weights,gestational age,length of hospital stay,and hospital charges.Charges associated with the in vitro fertilization cycles,artificial insemination,or embryo(s)transfer into the surrogate were not considered in the maternity charges.A ratio contrasting the maternity hospital charges for the surrogate carrier was compared as a ratio to the mean charges for 2540 infants delivered in 2013 after naturalconception and adjusted to the baseline hospital charges for both maternity and newborn care.RESULTS:Analysis of sixty-nine infants delivered from both gestational and traditional surrogate women found an increased in multiple births,NICU admission,and length of stay with hospital charges several multiples beyond that of a term infant conceived naturally and provided care in our nursery.Among singletons and twins(per infant)hospital charges were increased 26 times(P < 0.001)and in triplets charges were increased 173 times(P < 0.0001)when compared to a term infant provided care in a normal nursery at our center.CONCLUSION:Maternity costs for surrogates exceed those of women who conceive naturally,and these costs are especially magnified in women with triplets and multiple births.

Prevention of shoulder dystocia related birth injuries: Myths and facts

Traditionally, brachial plexus damage was attributed to excessive traction applied on the fetal head at delivery. Recently, it was proposed that most injuries occur spontaneously in utero. The author has studied the mechanism of neurological birth injuries based on 338 actual cases with special attention to(1) fetal macrosomia;(2) maternal diabetes; and(3) methods of delivery. There was a high coincidence between use of traction and brachial plexus injuries. Instrumental extractions increased the risk exponentially. Erb's palsy following cesarean section was exceedingly rare. These facts imply that spontaneous neurological injury in utero is extremely rare phenomenon. Literary reports show that shoulder dystocia and its associated injuries increased in the United States several-fold since the introduction of active management of delivery in the 1970's. Such a dramatic change in a stable population is unlikely to be caused by incidental spontaneous events unrelated to external factors. The cited investigations indicate that brachial plexus damage typically is traction related. The traditional technique which precludes traction is the optimal method for avoiding arrest of the shoulders and its associated neurological birth injuries. Effective prevention also requires meticulous prenatal care and elective abdominal delivery of macrosomic fetuses in carefully selected cases.