Strategies for Reducing Maternal Mortality

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• 作者：Steven L. Clark ; MD ; ^{steven.clark1@hcahealthcare.com}
• 关键词：cesarean delivery ; maternal mortality ; patient safety
• 刊名：Seminars in Perinatology
• 出版年：2012
• 出版时间：February 2012
• 年：2012
• 卷：36
• 期：1
• 页码：42-47
• 全文大小：1637 K

文摘

The maternal death rate in the United States has shown no improvement in several decades and may be increasing. On the other hand, hospital systems that have instituted comprehensive programs directed at the prevention of maternal mortality have demonstrated rates that are half of the national average. These programs have emphasized the reduction of variability in the provision of care through the use of standard protocols, reliance on checklists instead of memory for critical processes, and an approach to peer review that emphasizes systems change. In addition, elimination of a small number of repetitive errors in the management of hypertension, postpartum hemorrhage, pulmonary embolism, and cardiac disease will contribute significantly to a reduction in maternal mortality. Attention to these general principles and specific error reduction strategies will be of benefit to every practitioner and more importantly to the patients we serve.