妇幼医院管理案例——妇幼保健领域中医院管理与质量控制
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急救室（包括手术室和危重急救）
5
Quality in Care
Safe 安全:
医疗质量
avoiding injuries to patients
from healthcare that is
Person-centred 以人为本: providing care that is responsive to individual personal preferences,
intended to help them 避免在医疗过程中对患者
造成伤害
needs and values and assuring
that patient values guide all
clinical decisions
响应患者个人偏好、需求和价
Quality in 值观来提供医疗服务，确保临 床决策尊重患者意愿
• Inviting feedback at the point of patient care
从患者护理中获取患者反馈
• Undertake care observation 做患者保健观察 • Investigate and learn from patient complaints and
feedback 从患者投诉和反馈中研究和学习 • Investigate and learn from incidents 从突发事件中研究和学习 • Communicate effectively providing verbal and written information
Hospital management and quality control in maternal and child health care.
妇幼卫生保健中医院管理和质量控制
妇幼医院管理案例——
2
3
The Maternity Centre 妇产中心
At the Maternity Centre our aim is to facilitate a positive birth experience in a safe, sensitive, supportive
围产期死亡审查
Many perinatal deaths are preventable. Well implemented death reviews provide opportunities to examine the circumstances surrounding a child’s death, and improve
社会经济地位不同而改变
Timely 适时: reducing waits and sometimes
Care
医疗质量
harmful delays for both those
who receive care and those who
give care. 不管是对患者，还是医院工作
Efficient 高效:
the delivery of health services to prevent such deaths in the future. 许多围产期死亡事件是可以预防的，负责任地落实死亡审查，检查死亡婴儿周围环
境，能够帮助预防未来可能发生类似情形的死亡。
The Birmingham Reducing Perinatal Mortality Project (Martin and Gardosi 2007) aims to increase to 60%, detection rates of growth restricted fetuses through a
16
One Stop Out-paitent Clinic in Gynecology 妇科一站式门诊 （All in one room， 全部在一个房间内 ）
Hysterescopy 宫腔镜
Digital Screen 电子屏幕
Colposcopy 阴道镜
Chair 椅子
Ultrasound 超声检查
椅
子
PC & Desk 办公桌、电脑
椅 子
门
Recovery Room 病人休息室
洗 手 池
En-suite 卫生间、 淋浴室
17
One Stop Out-paitent Clinic in Gynecology 妇科一站式门诊 （All in one room， 全部在一个房间内 ）
Colposcopy (阴道镜) Hysterescopy (宫腔镜) Early pregnancy clinic (妊娠早期门诊) Suspected cancer clinic (疑似癌症诊断门诊) Sterilization clinic (绝育手术) Bladder Bulking Agent Injection (膀胱膨胀剂注射) Endometrial Ablation Clinic (子宫内膜切除手术)
tape measure. 伯明翰降低围产期死亡率项目（Martin and Gardosi 2007） 旨在通过加强社区护理 计划，使用定制胎儿生长图表、制定标准培训、认证胎儿生长的临床评估,将胎儿增
长限制的检出率提升至60%。
Patient Experience and Communication Effectiveness
通过以下方式制定循证标准及稳健的检查以确保遵守标准：
• Encouraging incident reporting 鼓励事故报告 • Investigating and learning from variances 从差异中研究和学习 • Carrying out maternal and perinatal death
18
Performance oversight
绩效监督
Consistent oversight and performance
通过信托一致性监管和绩效框架确保服务
frameworks in place across the trust to ensure 的质量和可持续性；
从有效沟通中获取口头和书面信息
10
11
12
13
Learning from Patient Complaints
and Feedback
从患者投诉和反馈中学习
Our families asked for their husbands and partners to stay with them overnight to help with the care of the baby. We have set up a process to enable that to happen 为了方便照顾新生儿，家属要求丈夫和伴护夜里也能够和她们待在一 起。我们已经设立了相关程序，希望可以满足这一要求。 Some of our families whose baby dies before the birth complained that the room they were cared in was too small and too close to women whose babies were born aliபைடு நூலகம்e. We are currently building the new room with input from women who lost their babies. 一些胎儿出生便死亡的家庭投诉称他们所处的病房太小或者离胎儿出 生存活的孕产妇病房太近。我们正在为那些失去自己孩子的产妇单独 建设新的房间。
programme of enhanced community care, including use of customised fetal growth charts and training and accreditation of clinical assessment of fetal growth using a
and friendly environment
• Over 3000 babies delivered each year 年均3000新生儿 • 68% delivered naturally, 18% Cesarean Section, 14% instrumental delivery
68% 自然分娩, 18% 剖腹产，14% 辅助分娩（使用产钳、硬膜外等） • 24 hour access to advice from midwives 助产士24小时值班 • One to one care throughout labour 整个分娩过程1对1助产士陪伴 • On-site Special Baby Care unit 新生儿特需监护病房 • On site (adult) emergency facilities including theatre and intensive care
患者体验和沟通效果
Equitable and Person Centred
公平与以人为本
Ensure and confirm that you are providing care that is acceptable to the woman by:
通过以下方式确保并确认能为孕产妇提供可接受的护理：
reviews 实施孕产妇及围产期死亡审查 • Undertaking clinical audits 着手临床审计 • Design and change systems with the patient
and her family in mind 与患者和患者家属设计和更改系统
Perinatal Death Reviews
Equitable 公平:
providing care that does not vary in quality because of personal
characteristics such as gender, ethnicity, geographic location or
socio-economic status 所提供的医疗服务质量不因个人 特征如性别、种族、地理定位或
者而言，尽量减少等待和伤害 avoiding waste, including
性延误
waste of equipment, supplies,
ideas, and energy;
避免包括设备、物资、理
念和精力等资源的浪费
Effective 效果:
providing services based on scientific knowledge
基于科学知识提供服务
3
Clinical and Risk Management Effectiveness
临床和风险管理效力
Safe and Effective安全和有效
Set evidence based standards coupled with robust check to ensure adherence to standards through:
Resource and Strategic Effectiveness
资源和战略性的效率
Efficient and Timely 高效和适时
Ensure that you are providing care that is timely and efficient by: 通过以下方式确保所提供的护理是适时和高效的： • Providing care close to home 为患者住家所在地附近提供可及护理 • Delivered according to timetabled standards 根据时间表标准提供医 疗服务 • Providing clinics with all the professionals required to provide the correct ‘one stop’ care i.e. Obesity Clinics, Diabetic Clinics 为门诊 提供所需的所有能够提供正确的“一站式”护理的专业人员：如肥胖 症门诊和糖尿病门诊 • Monitor waiting lists 监控患者等候名单 • Monitor cost effectiveness 监控成本效益 .
5
Quality in Care
Safe 安全:
医疗质量
avoiding injuries to patients
from healthcare that is
Person-centred 以人为本: providing care that is responsive to individual personal preferences,
intended to help them 避免在医疗过程中对患者
造成伤害
needs and values and assuring
that patient values guide all
clinical decisions
响应患者个人偏好、需求和价
Quality in 值观来提供医疗服务，确保临 床决策尊重患者意愿
• Inviting feedback at the point of patient care
从患者护理中获取患者反馈
• Undertake care observation 做患者保健观察 • Investigate and learn from patient complaints and
feedback 从患者投诉和反馈中研究和学习 • Investigate and learn from incidents 从突发事件中研究和学习 • Communicate effectively providing verbal and written information
Hospital management and quality control in maternal and child health care.
妇幼卫生保健中医院管理和质量控制
妇幼医院管理案例——
2
3
The Maternity Centre 妇产中心
At the Maternity Centre our aim is to facilitate a positive birth experience in a safe, sensitive, supportive
围产期死亡审查
Many perinatal deaths are preventable. Well implemented death reviews provide opportunities to examine the circumstances surrounding a child’s death, and improve
社会经济地位不同而改变
Timely 适时: reducing waits and sometimes
Care
医疗质量
harmful delays for both those
who receive care and those who
give care. 不管是对患者，还是医院工作
Efficient 高效:
the delivery of health services to prevent such deaths in the future. 许多围产期死亡事件是可以预防的，负责任地落实死亡审查，检查死亡婴儿周围环
境，能够帮助预防未来可能发生类似情形的死亡。
The Birmingham Reducing Perinatal Mortality Project (Martin and Gardosi 2007) aims to increase to 60%, detection rates of growth restricted fetuses through a
16
One Stop Out-paitent Clinic in Gynecology 妇科一站式门诊 （All in one room， 全部在一个房间内 ）
Hysterescopy 宫腔镜
Digital Screen 电子屏幕
Colposcopy 阴道镜
Chair 椅子
Ultrasound 超声检查
椅
子
PC & Desk 办公桌、电脑
椅 子
门
Recovery Room 病人休息室
洗 手 池
En-suite 卫生间、 淋浴室
17
One Stop Out-paitent Clinic in Gynecology 妇科一站式门诊 （All in one room， 全部在一个房间内 ）
Colposcopy (阴道镜) Hysterescopy (宫腔镜) Early pregnancy clinic (妊娠早期门诊) Suspected cancer clinic (疑似癌症诊断门诊) Sterilization clinic (绝育手术) Bladder Bulking Agent Injection (膀胱膨胀剂注射) Endometrial Ablation Clinic (子宫内膜切除手术)
tape measure. 伯明翰降低围产期死亡率项目（Martin and Gardosi 2007） 旨在通过加强社区护理 计划，使用定制胎儿生长图表、制定标准培训、认证胎儿生长的临床评估,将胎儿增
长限制的检出率提升至60%。
Patient Experience and Communication Effectiveness
通过以下方式制定循证标准及稳健的检查以确保遵守标准：
• Encouraging incident reporting 鼓励事故报告 • Investigating and learning from variances 从差异中研究和学习 • Carrying out maternal and perinatal death
18
Performance oversight
绩效监督
Consistent oversight and performance
通过信托一致性监管和绩效框架确保服务
frameworks in place across the trust to ensure 的质量和可持续性；
从有效沟通中获取口头和书面信息
10
11
12
13
Learning from Patient Complaints
and Feedback
从患者投诉和反馈中学习
Our families asked for their husbands and partners to stay with them overnight to help with the care of the baby. We have set up a process to enable that to happen 为了方便照顾新生儿，家属要求丈夫和伴护夜里也能够和她们待在一 起。我们已经设立了相关程序，希望可以满足这一要求。 Some of our families whose baby dies before the birth complained that the room they were cared in was too small and too close to women whose babies were born aliபைடு நூலகம்e. We are currently building the new room with input from women who lost their babies. 一些胎儿出生便死亡的家庭投诉称他们所处的病房太小或者离胎儿出 生存活的孕产妇病房太近。我们正在为那些失去自己孩子的产妇单独 建设新的房间。
programme of enhanced community care, including use of customised fetal growth charts and training and accreditation of clinical assessment of fetal growth using a
and friendly environment
• Over 3000 babies delivered each year 年均3000新生儿 • 68% delivered naturally, 18% Cesarean Section, 14% instrumental delivery
68% 自然分娩, 18% 剖腹产，14% 辅助分娩（使用产钳、硬膜外等） • 24 hour access to advice from midwives 助产士24小时值班 • One to one care throughout labour 整个分娩过程1对1助产士陪伴 • On-site Special Baby Care unit 新生儿特需监护病房 • On site (adult) emergency facilities including theatre and intensive care
患者体验和沟通效果
Equitable and Person Centred
公平与以人为本
Ensure and confirm that you are providing care that is acceptable to the woman by:
通过以下方式确保并确认能为孕产妇提供可接受的护理：
reviews 实施孕产妇及围产期死亡审查 • Undertaking clinical audits 着手临床审计 • Design and change systems with the patient
and her family in mind 与患者和患者家属设计和更改系统
Perinatal Death Reviews
Equitable 公平:
providing care that does not vary in quality because of personal
characteristics such as gender, ethnicity, geographic location or
socio-economic status 所提供的医疗服务质量不因个人 特征如性别、种族、地理定位或
者而言，尽量减少等待和伤害 avoiding waste, including
性延误
waste of equipment, supplies,
ideas, and energy;
避免包括设备、物资、理
念和精力等资源的浪费
Effective 效果:
providing services based on scientific knowledge
基于科学知识提供服务
3
Clinical and Risk Management Effectiveness
临床和风险管理效力
Safe and Effective安全和有效
Set evidence based standards coupled with robust check to ensure adherence to standards through:
Resource and Strategic Effectiveness
资源和战略性的效率
Efficient and Timely 高效和适时
Ensure that you are providing care that is timely and efficient by: 通过以下方式确保所提供的护理是适时和高效的： • Providing care close to home 为患者住家所在地附近提供可及护理 • Delivered according to timetabled standards 根据时间表标准提供医 疗服务 • Providing clinics with all the professionals required to provide the correct ‘one stop’ care i.e. Obesity Clinics, Diabetic Clinics 为门诊 提供所需的所有能够提供正确的“一站式”护理的专业人员：如肥胖 症门诊和糖尿病门诊 • Monitor waiting lists 监控患者等候名单 • Monitor cost effectiveness 监控成本效益 .