医疗保健机构新生儿死亡评审的可行性研究

郝波,赵更力,冯琪,章小维,曹彬

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (4) : 321-323.

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PDF(434 KB)
中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (4) : 321-323.
科研论著

医疗保健机构新生儿死亡评审的可行性研究

  • 郝波1,赵更力1,冯琪2,章小维1,曹彬3
作者信息 +

Feasibility study of neonatal mortality auditing in health facilities

  • HAO Bo1, ZHAO Geng-li1, FENG Qi2, ZHANG Xiao-wei1, CAO Bin3
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文章历史 +

摘要

【目的】 探讨《新生儿死亡评审规范》实施的可行性,进一步降低我国新生儿死亡率。 【方法】 2008年5-12月选择东部、中部、西部5省共有5个市(地)、12个县(市、区)作为《新生儿死亡评审规范》试行地区。 【结果】 多数地区能按照《规范》要求完成评审,通过评审不仅能够发现救治过程中存在的问题,纠正对死因的错误判断,还可以发现造成这些问题的管理层面的根源。专业技术人员的专业技能有较大提高。管理人员对影响新生儿救治的管理方面存在的问题也有了一定认识。 【结论】 各级人员普遍认为评审方法易于操作和实施,兼顾了在发达地区和贫困地区实施的可行性和可操作性。

Abstract

【Objective】 To explore the feasibility of Regulation of Neonatal Mortality Auditing(RNMA)for reducing neonatal mortality rate. 【Method】 5 provinces, 5 prefectures and 12 counties were selected to implement a pilot test to implement RNMA from May to December in 2008. 【Results】 Most areas were able to complete auditing, and the process was found to identify professional and management problems during the treatment process and correct erroneous judgments about the cause of neonatal deaths. Through auditing, skills of professional staff were improved, and management staff could identify some of the issues related management of neonatal treatment. 【Conclusion】 All participants thought Neonatal Mortality Auditing in health facilities was easy to operate and implement, and would be feasible in different development areas.

关键词

死亡评审 / 医疗保健机构 / 新生儿

Key words

mortality auditing / health facilities / newborn

引用本文

导出引用
郝波,赵更力,冯琪,章小维,曹彬. 医疗保健机构新生儿死亡评审的可行性研究[J]. 中国儿童保健杂志. 2011, 19(4): 321-323
HAO Bo, ZHAO Geng-li, FENG Qi, ZHANG Xiao-wei, CAO Bin. Feasibility study of neonatal mortality auditing in health facilities[J]. Chinese Journal of Child Health Care. 2011, 19(4): 321-323
中图分类号: R174   

参考文献

[1] Joy EL, Simon C, Jelka Z, et al. 4 million neonatal deaths: When? Where? Why?[J]. The Lancet,2005,365(9462):891-900.
[2] Shrestha M, Manandhar DS, Dhakal S, et al. Two years audit of perinatal mertality at Kathmandu Medical College Teaching Hospital[J]. Kathmandu Univ Med J,2006,4(2):176-181.
[3] Manandhar DS. Perinatal death audit[J]. Kathmandu Univ Med J,2004,2(4):375-383.
[4] King JF, Warren RA. The role of reviews of perinatal deaths[J]. Semin Fetal Nenatal Med,2006,11(2):79-87.

基金

联合国儿童基金会资助项目(YH601/11/62)

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