医疗保健机构新生儿死亡评审的可行性研究

【目的】 探讨《新生儿死亡评审规范》实施的可行性,进一步降低我国新生儿死亡率。 【方法】 2008年5-12月选择东部、中部、西部5省共有5个市(地)、12个县(市、区)作为《新生儿死亡评审规范》试行地区。 【结果】 多数地区能按照《规范》要求完成评审,通过评审不仅能够发现救治过程中存在的问题,纠正对死因的错误判断,还可以发现造成这些问题的管理层面的根源。专业技术人员的专业技能有较大提高。管理人员对影响新生儿救治的管理方面存在的问题也有了一定认识。 【结论】 各级人员普遍认为评审方法易于操作和实施,兼顾了在发达地区和贫困地区实施的可行性和可操作性。

Feasibility study of neonatal mortality auditing in health facilities

【Objective】 To explore the feasibility of Regulation of Neonatal Mortality Auditing(RNMA)for reducing neonatal mortality rate. 【Method】 5 provinces,5 prefectures and 12 counties were selected to implement a pilot test to implement RNMA from May to December in 2008. 【Results】 Most areas were able to complete auditing,and the process was found to identify professional and management problems during the treatment process and correct erroneous judgments about the cause of neonatal deaths.Through auditing,skills of professional staff were improved,and management staff could identify some of the issues related management of neonatal treatment. 【Conclusion】 All participants thought Neonatal Mortality Auditing in health facilities was easy to operate and implement,and would be feasible in different development areas.