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目的:探讨出院随访对防范产科医疗风险的价值。方法:对近两年在慈溪市妇幼保健院接受治疗的300例妇产科孕产妇进行出院后电话随访、定期家访等,观察孕产妇医疗风险控制情况和孕产妇对随访满意度。结果:20例孕产妇漏访、无法追踪,有效随访率为93.3%;追回病情不稳定孕产妇44例(14.6%),病情恶化9例(3%),经治疗后效果满意;其中医疗纠纷有效调节89例(29.6%);随访期间改正依从性差105例(35%);孕产妇随访满意度为95%。结论:通过出院随访能够及时发现出院妇产科孕产妇存在的疾病风险并进行治疗,有助于节省医疗成本来实现安全管理。
Objective: To investigate the value of hospital follow-up to prevent obstetric medical risks. Methods: Three hundred cases of obstetrics and gynecology maternal women who were treated in MCH in Cixi City in recent two years were followed up by telephone and regular home visits to observe the medical risk control of maternal and follow-up of pregnant women. Results: Twenty pregnant women missed visits and could not follow up. The effective follow-up rate was 93.3%. 44 cases (14.6%) were recovering from unstable condition and 9 cases (3%) were exacerbated. The results were satisfactory after treatment 89 cases (29.6%) were effectively adjusted for the dispute; 105 cases (35%) had poor compliance during follow-up; 95% of follow-up maternal satisfaction. CONCLUSIONS: The risk of disease at discharge of obstetrics and gynecology discharged from hospital can be detected and treated by discharge and follow-up, helping to save medical costs and achieve safety management.