上海市产科质量管理的措施与效果

总结了近十年来上海市产科质量管理的工作情况，介绍了上海市产科质控的具体做法，包括：夯实产科质量管理的基础，打造健全的组织构架；重视产科质量管理的关键，进行过程结点的控制；关注产科质量的提升，进行结局信息的分析与反馈，并指导近远期行动计划的制订。同时介绍了由此取得的显著效果，包括：孕产妇死亡率的降低、接产机构准入标准的提高以及外来孕产妇分娩点建立后的初步成效。此外，对进一步改进孕产期保健、提高产科质量提出了建议。

Measures and results of quality management in obstetrics in Shanghai

The paper sums up quality management in obstetrics in Shanghai in the past 10 years and gives an account of the specific measures adopted: laying a solid foundation of quality management in obstetrics and creating a sound organizational framework;valuing the crux of quality management in obstetrics and strengthening the control of process quality;stressing quality improvement in obstetrics and the analysis and feedback of outcome information and guiding the formulation of short-term and long-term action plans.It also describes the marked results obtained,including a reduced maternal mortality rate,enhanced access criteria for maternity hospitals,and preliminary results attained after the establishment of maternity hospitals for women from other areas.In addition,the paper puts forward suggestions for further improving maternal healthcare and obstetric quality.