Perinatal Hasta Güvenliği: Kavramsal Çerçeveden Hemşirelik Yaklaşımlarına

Öz

Perinatal dönem boyunca bakım verilen bireyin güvenliğini sağlamak ve önlenebilir hasta zararı riskini azaltmak sağlık profesyonellerinin ve sağlık bakım sistemlerinin ortak amacı olmasına karşın, perinatal tıbbi hatalar, maternal / fetal / neonatal mortalite ve morbiditenin en önemli nedenleri arasındadır. Perinatal hasta güvenliğinin sağlanması için disiplinlerarası ekip çalışması, kurumsal destek ve dikkatli planlama şarttır. Bu ekibin bir üyesi olarak hemşireler, perinatal hasta güvenliğinin sürdürülmesinde önemli bir role sahiptir. Bu derleme, perinatal hasta güvenliğinin kavramsal çerçevesine ve perinatal hemşirenin rollerine ilişkin sağlık ekibi üyelerine ve sağlık bakım kurumlarına rehberlik ve bilgi sağlamak amacıyla yazılmıştır.

Anahtar Kelimeler

• Hasta Güvenliği,Perinatal Hasta Güvenliği,Perinatal Hemşirelik

Perinatal Patient Safety: To Nursing Approach From Conceptual Framework

Öz

Therefore to give safe care for mothers and infants during the perinatal period, to minimize the risk of preventable patient harm and to promote patient safety for women who give birth is the mutual goal of health professionals and health care systems. perinatal medical errors remains as a major cause maternal / fetal / neonatal mortality and morbidity. Promoting perinatal high reliability care for women and infants is essential interdisciplinary team participation, administrative support, careful planning. Within an interdisciplinary team particularly nursing has a central role in maintaining perinatal patient safety. This review, health professionals and health care institutions has been created to provide guidance and information about conceptual framework for perinatal patient safety and related to the role of perinatal patient safety nurse.

Anahtar Kelimeler

• Patient Safety,Perinatal Patient Safety,Perinatal Nursing

Kaynakça

1. American College of Obstetricians and Gynecologists (ACOG) (2009). ACOG practice bulletin no. 107. Induction of labor. Washington, DC: The College.
2. Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) (2008). Nursing management of the second stage of labor, 2nd ed. Evidence based clinical practice guideline. Washington, DC: Association of Women’s Health, Obstetric and Neonatal Nurses.
3. Association of Women’s Health, Obstetric and Neonatal Nursing (AWHONN) (2010). AWHONN position statement: Gender bias as a factor for nursing positions in women’s health, obstetric and neonatal nursing. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 40(1), 135.
4. Bakken, S., Cook, S., Curtis, L., Desjardins, K., Hyun, S., & Jenkins, M. (2004). Promoting patient safety through informatics-based nursing education. International Journal of Medical Informatics, 73(7-8), 581-589.
5. Bates, E., Rouse, D., Chapman, V., Mann, M. L., Carlo, W., & Tita, A. (2010). Neonatal outcomes after demonstrated fetal lung maturity before 39 weeks of gestation. Obstet Gynecol. 116(6), 1288-95.
6. Berwick, D. M. (2003). Errors Today and Errors Tomorrow. New Engl J Med, 348(25), 2570-2.
7. Blomberg, M. (2011). Maternal obesity and risk of postpartum hemorrhage. Obstet Gynecol. 118(3), 561-8.
8. Callaghan, W. M., Kuklina, E. V., & Berg, C. J. (2010). Trends in postpartum hemorrhage: United States, 1994-2006. Am J Obstet Gynecol. 202(4), 353.

9. Clark, S., Belfort, M., & Saade, G. (2007). Implementation of a conservative checklist-based protocol for oxytocin administration: maternal and newborn outcomes. Am J Obstet Gynecology.197(5), 480.
10. Clark, S. L., Belfort, M. A., Byrum, S. L., Meyers, J. A., & Perlin, J. B. (2008). Improved outcomes, fewer cesarean deliveries, and reduced litigation: Results of a new paradigm in patient safety. American Journal of Obstetrics and Gynecology, 199(2), 105.e1–105.e7.
11. Donaldson, L. J., & Fletcher, M. G. (2006). The WHO World Alliance for Patient Safety: Towards the years of living less dangerously. Medical Journal of Australia, 184(10 suppl), 69-72.
12. Forster, A. J., Fung, I., Caughey, S., Oppenheimer, L., Beach, C., Shojania, K. G., & van Walraven, C. (2006) Adverse events detected by clinical surveillance on an obstetric service. Obstetrics Gynecology. 108(5), 1073–1083.
13. Funk, D. J., Parrillo, J. E., & Kumar, A. (2009). Sepsis and septic shock: A history. Critical Care Clinics, 25, 83–101.
14. Geller, S. E., Adams, M. G., Kominiarek, M. A., Hibbard, J. U., Endres, L. K., Cox, S. M., & Kilpatrick, S. J. (2007). Reliability of a preventability model in maternal death and morbidity. American Journal of Obstetrics and Gynecology, 196(1), 57.e1–57.e6.
15. Goldenberg, R. L., McClure, E. M., Bhattacharya, A., Groat, T. D., & Stahl, P. J. (2009). Women's perceptions regarding the safety of births at various gestational ages. Obstet Gynecol. 114, 1254–1258.
16. Ford, J. B., Roberts, C. L., Simpson, J. M., Vaughan, J., & Cameron, C. A. (2007). Increased postpartum hemorrhage rates in Australia, Int J Gynecol Obstet, 98, 237–243.
17. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (2004). Preventing Infant Death and Injury During Delivery. Oakbrook Tenace, IU: Joint Commission on Accreditation of Healthcare Organizations, 1-3. Sentinel Event Alert No. 30.
18. Joint Commission Updates Sentinel Event Statistics http://www.healthleadersmedia.com/content/QUA-250699/Joint-Commission-Updates-Sentinel-Event-Statistics Knox, G. E., Simpson, K. R. (2010). Perinatal high reliability. Am J Obstet Gynecol. 204(5), 373-7.
19. Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To Err is Human: Building a safer health system. Institute of Medicine (US) Committee on Quality of Health Care in America; Washington (DC): National Academies Press (US).
20. Lyndon, A., Kennedy, H. P. (2010). Perinatal safety: From concept to nursing practice. Journal of Perinatal & Neonatal Nursing, 24(1), 22–31.
21. Magann, E. F., Evans, S., Hutchinson, M., Collins, R., Howard, B. C., & Morrison, J. C. (2005). Postpartum hemorrhage after vaginal birth: an analysis of risk factors. South Med J, 98(4), 419-22.
22. Massett, H. A., Greenup, M., Ryan, C. E., Staples, D. A., Green, N. S., & Maibach, E. W. (2003). Public perceptions about prematurity: a national survey. Am J Prev Med, 24, 120–7.
23. McCartney, P. R. (2006). Using technology to promote perinatal patient safety. J Obstet Gynecol Neonatal Nursing, 35(3), 424-31.
24. Miller, L. A. (2005). Patient Safety and Teamwork in Perinatal Care: Resources for Clinicians. J Perinat Neonatal Nursing, 19(1), 46-51.
25. National Patient Safety Foundation (NPSF) (2003), http://www.npsf.org/about-us/
26. National Quality Forum (NQF) (2008). National Voluntary Consensus Standards for Perinatal Care 2008: A Consensus Report. Washington, DC: National Quality Forum
27. Pronovost, P. J., Nolan, T., Zeger, S., Miller, M., & Rubin, H. (2011). How can clinicians measure safety and quality in acute care? Int J Nurs Stud, 48(3), 347-55.
28. Raab, C. (2011). The Perinatal Safety Nurse: Exemplar of Transformational Leadership. MCN The American Journal of Maternal/Child Nursing, 36(5), 280–287.
29. Simpson, K. R., Knox, G. E. (2009). Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nursing, 34(1), 8-15.
30. Simpson, K. R., Newman, G., & Chirino, O. R. (2010). Patient education to reduce elective inductions. MCN Am J Matern Child Nursing, 35(4), 188–194.
31. Simpson, K. R. (2006). Measuring Perinatal Patient Safety: Review of Current Methods. J Obstet Gynecol Neonatal Nursing, 35(3), 432-42.
32. Simpson, K. R. (2011) Perinatal Patient Safety and Quality. The Journal of Perinatal and Neonatal Nursing Issue 25(2), 103–107.
33. Simpson, K. R. (2012). Ongoing Column: Perinatal Patient Safety, Better Care. MCN American Journal of Maternal Child Nursing, 37(2), 136.
34. The Joint Commission (TJC) (2009). Perinatal core measure set. Oakbrook Terrace, IL: The Joint Commission.
35. The Joint Commission (TJC) (2010). Preventing maternal deaths. Sentinel event alert 44. Oakbrook Terrace, IL: The Joint Commission.
36. Thorman, K. E., Capitulo, K. L., Dubow, J., Hanold, K., Noonan, M., & Wehmeyer, J. J. (2006). Perinatal patient safety from the perspective of nurse executives: a round table discussion. Obstet Gynecol Neonatal Nursing, 35(3), 409-416.
37. Vries, E. N., Ramrattan, M. A., Smorenburg, S. M, Gouma D. J., & Boermeester, M. A. (2008) The incidence and nature of in-hospital adverse events: A systematic review. Quality and Safety in Health Care 17(3), 216-223.
38. World Health Organisation (WHO) (2004). World Alliance for Patient Safety Geneva: World Health Organisation.