Estrategias para la mejora de calidad en la sala de partos
DOI:
https://doi.org/10.5281/zenodo.4290635Keywords:
mejora de la calidad, sala de partos, recién nacidos, unidad de cuidados intensivos neonatales, reanimación neonatalAbstract
Introducción: Se estima que entre el 5% y el 10% de todos los partos recién nacidos requieren asistencia activa al nacer y el 1% de los partos requieren medidas intensivas de reanimación. La incidencia de medidas intensivas, como la reanimación cardiopulmonar, se correlaciona inversamente con la edad gestacional y se asocia independientemente con una mayor morbilidad y mortalidad.
Materiales y métodos: La mejora de la calidad en la sala de partos requiere un enfoque multidisciplinario y una cuidadosa consideración de los aspectos únicos del entorno. Se realizó una revisión bibliográfica sistematizada usando como base investigaciones recientes publicadas en revistas científicas internacionales, siguiendo las guías PRISMA.
Resultados: El personal calificado presente en el parto debe poseer las habilidades técnicas y de comportamiento para la reanimación, asegurando también que el equipamiento esté fácilmente disponible. La implementación de estas pautas y la capacitación del personal a menudo se llevan a cabo y mejoran mediante proyectos de mejora de la calidad institucional. Los asistentes de la sala de partos pueden refinar sus habilidades técnicas y de comportamiento a través de sesiones de simulación y utilizar esas habilidades para cumplir con los objetivos de mejora de calidad.
Conclusiones: Las mejoras en áreas discretas del manejo del recién nacido en la sala de partos tienen el potencial de impactar los desenlaces neonatales.
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Copyright (c) 2020 Carolina Ortíz de Galván (Autor/a)
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