Perinatal Patient Safety and Nursing Approach

Year 2021, , 123 - 132, 18.04.2021

Büşra Yılmaz , Ümran Oskay

https://doi.org/10.38108/ouhcd.825864

Abstract

Ensuring maternal, fetal and neonatal safety in the perinatal period is a common goal for all healthcare professionals. In the perinatal period, which is mostly formed by young healthy women, an undesirable negative situation about the mother and baby can bring a very devastating result. For this reason, mother and baby safety practices should be a priority in perinatology. Identification errors, communication problems, medication safety errors and falls are the main perinatal patient safety problems. Good team training, effective communication, simulation practices, fetal follow-up training, professional behavior and safety culture development studies, role plays, clinical guidelines and checklists constitute the key components of patient safety practices. One of the basic components of nursing care in contemporary perinatology practices is to ensure the safety of patients. Perinatal nurse can contribute to patient safety by keeping their knowledge about patient safety up-to-date, monitoring clinical results, taking an active role in teamwork and as a reliable role model. This review was written to address perinatal patient safety through current clinical guidelines, standard protocols, and to indicate the roles of nurses taking an active role in perinatology practices.

Keywords

Perinatalogy, patient safety, medical error, nurse, professional role

Perinatal Hasta Güvenliği ve Hemşirelik Yaklaşımı

Abstract

Perinatal dönemde maternal, fetal ve yenidoğan güvenliğinin sağlanması tüm sağlık çalışanları için ortak bir hedeftir. Büyük çoğunluğunu genç sağlıklı kadınların oluşturduğu perinatal dönemde anne ve bebekle ilgili istenmeyen olumsuz bir durum çok yıkıcı bir sonucu beraberinde getirebilir. Bu sebeple perinatoloji alanında anne ve bebek güvenliği uygulamaları öncelikli olmalıdır. Kimliklendirme hataları, iletişim problemleri, ilaç güvenliği hataları ve düşmeler perinatal hasta güvenliği sorunlarının başında gelmektedir. İyi bir ekip eğitimi, etkili iletişim, simülasyon uygulamaları, fetal izlem eğitimi, mesleki davranışları ve güvenlik kültürü geliştirme çalışmaları, rol playler, klinik yönergeler ve kontrol listeleri hasta güvenlik uygulamalarının kilit bileşenlerini oluşturmaktadır. Çağdaş perinatoloji uygulamalarında hemşirelik bakımının temel bileşenlerinden biri de hastaların güvenliğini sağlamaktır. Perinataloji hemşiresi hasta güvenliği ile ilgili bilgilerini güncel tutarak, klinik sonuçları izleyerek, ekip çalışmasında aktif rol alarak ve güvenilir bir rol modeli olarak hasta güvenliğine katkıda bulunabilir. Bu derleme, perinatal hasta güvenliğinin güncel klinik yönergeler, standart protokoller aracılığıyla ele alınması ve perinatoloji uygulamalarında aktif rol alan hemşirelerin rollerini belirtmek amacıyla yazılmıştır.

Keywords

perinatoloji, hasta güvenliği, hemşire, tıbbi hata, profesyonel rol

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