以“疾病预警分级”为基础的产科专业医师实例培训对产科质量管理的影响  

Effect of the Example's Training of Professional Obstetrician Based on the Disease Warning Grading on the Obstetric Management

作　　者：蒋荣珍[1] 李明[1] 李萍[1] 滕银成[1] 黄亚娟[1] 顾京红[1] 杜菲[1] 陶敏芳[1] 

机构地区：[1]上海交通大学附属第六人民医院/上海市危重孕产妇会诊抢救中心/上海交通大学附属第六人民医院妇产科研究所,上海200233

出　　处：《医学教育研究与实践》2017年第6期925-928,954,共5页Medical Education Research and Practice

基　　金：国家自然科学基金项目(No:81570444);国家科技部"十二五"支撑计划项目(2014BAI05B05);上海市卫计委第四轮公共卫生行动计划重点学科建设计划(15GWZK0701);上海交通大学医学院2017年度医学教育研究(ZD170703);2017年上海市卫生与计划生育委员会科研课题面上项目(201740164);上海交通大学研究基金管理项目(LY201501)

摘　　要：目的探讨以"疾病预警分级"为基础的产科医生实例培训在产科质量与重症管理中的作用。方法2011~2012年对上海市第六人民医院危重孕产妇抢救中心辖区产科专业医生进行"疾病预警分级"为基础的实例培训,收集2008~2016年辖区转入中心病例共818例,以2012年末为培训终点,分析培训前后辖区转入中心孕产妇疾病类别、高危病人占比、规范化转诊变化情况。结果以"疾病预警分级"为基础的实例培训后,红色预警分类病人占比(32.75%)、内外科合并症病人占比(52.13%)、转入病人规范化占比(92.59%)明显高于培训前(分别为18.46%,23.76%,50.26%),P<0.01;转入病人黄色分类病人占比(14.11%)、产科并发症病人占比(47.97%)明显低于培训前(分别为29.76%,76.24%),P<0.01。结论以"疾病预警分级"为基础的实例产科专业医生培训可以优化产科治疗资源,提高产科管理质量与重症救治效果。Objective To explore the role of the example＇s training based on ＂disease warning grading＂ on the obstetric quality and Intensive management. Methods To train the professional obstetricians which come from the administrative region of the perinatal intensive-care monitoring, Shanghai Jiaotong University No. 6 People＇s Hospital based on ＂disease warning grading＂ from 2011 to 2012. We collected 818 patients in the center which transferred from the administrative region and analyzed the changes of the disease warning grading and standardization of patient transfer between 2008~2016. Results The ratio of the red alert patient （32.75%）, physicians and surgical complications（52.13%）, standardization of patient transfer（92. 59%） after the training were higher than those of before the training （18.46%, 23.76%, 50.26 % ）P〈0.01. The ratio of Yellow warning patient （ 14. 11% ）, Obstetric complications（47. 97%）after the training were lower than those of before the training （29. 76%, 76.24% ）P〈0.01. Conclusion The example＇s training of obstetrician which based on ＂disease warning grading＇would make full use of the obstetrics resources, strengthen the obstetric quality and increase the effect of the obstetric intensive prevention and management.

关 键 词：产科医生 疾病预警分级 实例培训 产科管理 

分 类 号：G64[文化科学—高等教育学]