Construction and application of a management system for pregnant women undergoing first visit in non-obstetric departments
10.3760/cma.j.cn111325-20230928-00189
- VernacularTitle:非产科首诊孕产妇管理系统的构建与应用
- Author:
Kaiyang GENG
1
;
Yusong ZOU
;
Song BIAN
;
Junli LU
;
Meizhu XIAO
;
Yuhua ZHANG
;
Xue MA
Author Information
1. 首都医科大学附属北京朝阳医院医务处，北京 100020
- Keywords:
Practice management, medical;
Non-obstetric departments;
Pregnant women;
Risk warning systems;
Critical illness reporting;
Total process management
- From:
Chinese Journal of Hospital Administration
2024;40(8):609-612
- CountryChina
- Language:Chinese
-
Abstract:
Early identification and intervention of high-risk factors during pregnancy is important for the prevention of maternal mortality. A certain hospital has established a management system for pregnant women undergoing first visit in non-obstetric departments and started applying it in three campus of the hospital in July 2023. Through the information management module for pregnant women undergoing first visit in non-obstetric departments that embedded in the hospital information system, abnormal pregnancy situations could be screened in a timely, comprehensive, and standardized manner, and quality control management could be carried out. At the same time, the hospital established a graded management path based on the severity of the condition of pregnant women, and provided early intervention for critically ill pregnant women reported through standardized management and multidisciplinary collaboration. From July to December 2023, a total of 5 766 pregnant women were first diagnosed and reported in 41 non-obstetric departments. Telephone follow-up showed a true reporting rate of 93.0%, and a total of 11 critical illness case were reported, including 2 cases of misoperation, with an accuracy rate of 81.8%. There were no adverse outcomes caused by failure to detect critical illness cases in a timely manner. In contrast, the relevant statistical data from January to June 2023 showed that there were 257 cases of pregnant women reported by non-obstetric departments, including 0 cases of critical illness and 1 case of missed critical illness. In addition, the time for non-obstetricians to screen for critically illness pregnant women of childbearing age has been reduced from 5-10 min per person before the system application to 15 s-1 min per person. The application of this system has reduced the missed reporting of critical illnesses, effectively ensured the safety of pregnant women, and improved work efficiency. It can provide reference for safety management of pregnant women in other medical institutions.
