Saving more neonates in hospital: an intervention towards a sustainable reduction in neonatal mortality in a Nicaraguan hospital
Saving more neonates in hospital: an intervention towards a sustainable reduction in neonatal mortality in a Nicaraguan hospital
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DOI：
10.1177/004947559802800211
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发表时间：
1998-04-01
期刊：
影响因子：
0.6
通讯作者：
Steidinger, J
中科院分区：
文献类型：
--
作者：
Aleman, J;Brannstrom, I;Steidinger, J
尼加拉瓜地区医院启动了一项变革进程，以实现早期新生儿死亡率的可持续降低。采取了一系列组织、教育和卫生措施，涉及产前护理、分娩护理和新生儿护理的所有工作人员。新生儿死亡率从 1985 年的 56/1000 活产下降到 1993 年的 11/1000。妇幼保健委员会、每周围产期审计、所有工作人员的积极参与和关键人员的专注工作以及国家政策决定被认为是这一进程的重要决定因素。通过对护理常规的持续分析和外部思想交流，保持对新生儿死亡率的关注对于持续改进并进一步降低死亡率非常重要。
A process of change was initiated in a Nicaragruan regional hospital in order to achieve a sustainable reduction of early neonatal mortality. A series of organizational, educational and hygienic measures was introduced, involving all staff in antenatal care, delivery care and neonatal care. Neonatal mortality decreased from 56/1000 live births in 1985 to 11/1000 in 1993. A commission of maternal and child health, a weekly perinatal audit, the active involvement of all staff and dedicated work of key individuals, as well as national policy decisions, are considered important determinants of the process. Keeping neonatal mortality in focus through continuous analysis of care routines, and through external exchange of ideas is important in order to sustain improvements anti to decrease further the mortality.