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目的:应用美国医疗机构评审国际联合委员会标准(JCI标准)开展“持续改进,保证安全”的标准和要求,进一步降低新生儿窒息的发生率。方法:应用JCI标准,对11 150例孕产妇做好产前监测、产时监护、产儿麻醉科合作,迅速反应,快速进入新生儿抢救程序,应用临床资料和临床科研方法总结分析产时11 150例孕产妇分娩发生新生儿窒息情况。结果:在监测的11 150例孕产妇中,新生儿窒息123例,新生儿窒息率为1.10%。结论:产科应用JCI标准,建立相应的制度、流程,不断改进完善产时监护和产儿科配合制度,就能率先在全国范围内降低新生儿窒息发生率。
OBJECTIVE: To carry out the standards and requirements of “continuous improvement and ensure safety” by using the JCI standard (JCI standard) of the United States Medical Institutions Review to further reduce the incidence of neonatal asphyxia. Methods: The JCI standard was used to monitor prenatal care of 11 150 pregnant women during maternity and childbirth, anesthesia department of childbirth and childbirth, rapid response and rapid access to newborn rescue procedures. The clinical data and clinical research methods were used to summarize the data of 11 150 Cases of maternal childbirth neonatal asphyxia. Results: Of the 11 150 mothers monitored, 123 were neonatal asphyxia and 1.10% were neonatal asphyxia. Conclusion: The application of JCI standard obstetrics, the establishment of appropriate systems and processes, and continuously improve the perinatal care and pediatric co-ordination system, will be the first nationwide to reduce the incidence of neonatal asphyxia.