Neonatal near miss: A review of current definitions and the need for standardisation.

Neonatal near miss: A review of current definitions and the need for standardisation.
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DOI:
10.1111/ajo.13493
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发表时间:
2022-06
期刊:
The Australian & New Zealand journal of obstetrics & gynaecology
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--
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其他
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新生儿险些死亡(NNM)是指在新生儿期几乎死亡的新生儿,通常被认为是包括死产和新生儿死亡在内的一系列疾病的一部分。NNM审计可能会提高对风险因素和不合格护理的认识,促进基准比较,并为预防战略提供信息,以改善围产期结局。这一审查表明,现有的NNM定义不一致,差异很大。这可能会破坏制定有效的预防战略和进行全球比较。专家意见可能有助于达成共识,从而能够针对适当的人群,从而为围产期审计带来更有意义的数据。
Neonatal near miss (NNM) refers to a newborn who almost died in the neonatal period and is often perceived as part of a spectrum that includes stillbirth and neonatal death. NNM audits might improve recognition of risk factors and substandard care, facilitate benchmarking and inform prevention strategies to improve perinatal outcomes. This review shows that available NNM definitions are inconsistent and vary widely. This is likely to undermine the development of effective prevention strategies and global comparisons. Expert opinion may help reaching a consensus, thus enabling targeting of the appropriate population which would lead to more meaningful data for perinatal audits.
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