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[PMID]:29174008
[Au] Autor:Durand C; Secheresse T; Leconte M
[Ad] Endereço:Réseau périnatal des 2 Savoie, centre hospitalier Métropole Savoie, BP 31125, 73011 Chambéry cedex, France. Electronic address: cdurand.rp2s@free.fr.
[Ti] Título:[The use of the Debriefing Assessment for Simulation in Healthcare (DASH) in a simulation-based team learning program for newborn resuscitation in the delivery room].
[Ti] Título:Intérêt de la grille DASH pour l'évaluation de la qualité des débriefings : étude au cours d'un programme de simulation autour de la réanimation du nouveau-né en salle de naissance..
[So] Source:Arch Pediatr;24(12):1197-1204, 2017 Dec.
[Is] ISSN:1769-664X
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:OBJECTIVE: To evaluate the contribution of the Debriefing Assessment for Simulation in Healthcare (DASH, Centre for Medical Simulation, Harvard) in a high-fidelity simulation in situ program used for newborn resuscitation training. METHODS: The DASH was scored by trainees and instructors at the end of the session. The instructors' feedback and opinions were collected. RESULTS: The study included 16 training sessions (ten maternity units) with 156 trainees and ten instructors (45 DASH). The mean DASH score was rated at 6.6/7 by the learners and 5.4/7 by the instructors. For each element, the instructors scored the DASH lower than the learners (P<0.001). For each session, the instructors' DASH scores were lower than the learners' score (P<0.001). The instructors' DASH scores progressed during the first three sessions of the study. The instructors evaluated the DASH's usefulness at 3.6/7 in self-evaluation and at 6.3/7 if used collectively. CONCLUSION: The trainees evaluated the debriefing with high-level DASH scores, thus validating the educational aim of the program. In contrast, the instructors' DASH scores were lower and heterogeneous. Debriefing high-fidelity simulations remains a complex exercise. The use of the DASH can be a helpful measure for instructors in regard of their own practice. Its main advantage could be in providing a validated tool that will allow a "debriefing of debriefing".
[Mh] Termos MeSH primário: Ressuscitação/educação
Treinamento por Simulação
[Mh] Termos MeSH secundário: Salas de Parto
Seres Humanos
Recém-Nascido
Avaliação de Programas e Projetos de Saúde
Garantia da Qualidade dos Cuidados de Saúde/métodos
Estudos Retrospectivos
Autorrelato
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28076992
[Au] Autor:Zaami S; Montanari Vergallo G; Napoletano S; Signore F; Marinelli E
[Ad] Endereço:a Department of Anatomical, Histological, Forensic and Orthopaedic Sciences , Sapienza University of Rome , Rome , Italy.
[Ti] Título:The issue of delivery room infections in the Italian law. A brief comparative study with English and French jurisprudence.
[So] Source:J Matern Fetal Neonatal Med;31(2):223-227, 2018 Jan.
[Is] ISSN:1476-4954
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Delivery room infections are frequent, and many of them could be avoided through higher standards of care. The authors examine this issue by comparing it to English and French reality. Unlike England, in Italy and France the relationship established between health facility, physician and patient is outlined in a contract. In England, the judges' decisions converge toward a better and higher protection of the patient-the actor-and facilitate the probative task. In case of infections, including those occurring in the delivery room, three issues are evaluated: the hospital's negligent conduct, damages if any and causal nexus. Therefore, the hospital must demonstrate to have taken the appropriate asepsis measures according to current scientific knowledge concerning not only treatment, but also diagnosis, previous activities, surgery and post-surgery. In order to avoid a negative sentence, both physicians and hospital have to demonstrate their correct behavior and that the infection was caused by an unforeseeable event. The authors examine the most significant rulings by the Courts and the Supreme Court. They show that hospitals can avoid being accused of negligence and recklessness only if they can demonstrate to have implemented all the preventive measures provided for in the guidelines or protocols.
[Mh] Termos MeSH primário: Infecção Hospitalar
Salas de Parto/legislação & jurisprudência
Imperícia/legislação & jurisprudência
Complicações do Trabalho de Parto
Médicos/legislação & jurisprudência
Transtornos Puerperais
[Mh] Termos MeSH secundário: Antibacterianos/administração & dosagem
Antibacterianos/uso terapêutico
Feminino
Seres Humanos
Lactente
Mortalidade Infantil
Itália
Legislação Hospitalar
Mortalidade Materna
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170113
[St] Status:MEDLINE
[do] DOI:10.1080/14767058.2017.1281243


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[PMID]:28819527
[Au] Autor:Merzougui L; Marwen N; Barhoumi T; Ltaeifa AB; Hannachi H; Jaballah R; Fatnassi R
[Ad] Endereço:Service d'Hygiène Hospitalière, CHU Ibn El Jazzar, Kairouan, Tunisie.
[Ti] Título:[Evaluation of the compliance rate of partograph use in a Tunisian Maternity ward: a targeted clinical audit].
[Ti] Título:Évaluation de la conformité de la tenue du Partogramme dans une maternité Tunisienne: audit clinique ciblé..
[So] Source:Pan Afr Med J;27:106, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Partograph is an essential tool in routine delivery room practices. It is a written reflection of the quality of mother and child health management during delivery and in the immediate post-partum period. Our study aims to assess compliance rate of partograph use within our maternity ward and to propose areas for improvement of its quality. We conducted a retrospective clinical audit of 400 patients? medical records who gave birth on the labour ward at University of Kairouan from 1 January to 31 December 2014. The reference guidelines used were those from the French Health High Authority (2006) containing 29 criteria divided into 3 categories (PARTOten, PARTOobs, PARTOeve). The overall compliance rate (OCR) of partograph use in our audit was 55.9%. With regard to the first area, such as « La tenue du partogramme ¼ (partograph use, PARTOten) the overall compliance rate was 88, 9%. With regard to the second area, such as « la traçabilité du déroulement du travail ¼ (track labor progression, PARTOobs) the overall compliance rate was 51, 4%. With regard to the third area, such as « la traçabilité des actes, des évènements et des traitements au cours du travail ¼ (the tracing of actions, events and treatments during labor, PARTOeve) the overall compliance rate was 27.4%. Our study has helped identify several areas for improvement. The ultimate goal of this clinical audit was the improvement of professional practices. Therefore, we implemented an action plan (training, awareness raising?) followed by a review aimed to verify the continuity of the corrective actions.
[Mh] Termos MeSH primário: Salas de Parto/normas
Monitorização Fisiológica/métodos
Complicações do Trabalho de Parto/prevenção & controle
Complicações na Gravidez/prevenção & controle
[Mh] Termos MeSH secundário: Auditoria Clínica
Parto Obstétrico/métodos
Feminino
Fidelidade a Diretrizes
Seres Humanos
Trabalho de Parto
Gravidez
Qualidade da Assistência à Saúde
Estudos Retrospectivos
Tunísia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.106.10620


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[PMID]:28408543
[Au] Autor:Shahabuddin A; De Brouwere V; Adhikari R; Delamou A; Bardaj A; Delvaux T
[Ad] Endereço:Department of Public Health, Instituut voor Tropische Geneeskunde, Antwerp, Belgium shahab_nsu@yahoo.com.
[Ti] Título:Determinants of institutional delivery among young married women in Nepal: Evidence from the Nepal Demographic and Health Survey, 2011.
[So] Source:BMJ Open;7(4):e012446, 2017 Apr 13.
[Is] ISSN:2044-6055
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To identify the determinants of institutional delivery among young married women in Nepal. DESIGN: Nepal Demographic and Health Survey (NDHS) data sets 2011 were analysed. Bivariate and multivariate logistic regression analyses were performed using a subset of 1662 ever-married young women (aged 15-24 years). OUTCOME MEASURE: Place of delivery. RESULTS: The rate of institutional delivery among young married women was 46%, which is higher than the national average (35%) among all women of reproductive age. Young women who had more than four antenatal care (ANC) visits were three times more likely to deliver in a health institution compared with women who had no antenatal care visit (OR: 3.05; 95% CI: 2.40 to 3.87). The probability of delivering in an institution was 69% higher among young urban women than among young women who lived in rural areas. Young women who had secondary or above secondary level education were 1.63 times more likely to choose institutional delivery than young women who had no formal education (OR: 1.626; 95% CI: 1.171 to 2.258). Lower use of a health institution for delivery was also observed among poor young women. Results showed that wealthy young women were 2.12 times more likely to deliver their child in an institution compared with poor young women (OR: 2.107; 95% CI: 1.53 to 2.898). Other factors such as the age of the young woman, religion, ethnicity, and ecological zone were also associated with institutional delivery. CONCLUSIONS: Maternal health programs should be designed to encourage young women to receive adequate ANC (at least four visits). Moreover, health programs should target poor, less educated, rural, young women who live in mountain regions, are of Janajati ethnicity and have at least one child as such women are less likely to choose institutional delivery in Nepal.
[Mh] Termos MeSH primário: Salas de Parto/utilização
Parto Obstétrico/estatística & dados numéricos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Cuidado Pré-Natal/utilização
[Mh] Termos MeSH secundário: Adolescente
Estudos Transversais
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Modelos Logísticos
Casamento
Análise Multivariada
Nepal
Gravidez
População Rural
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171121
[Lr] Data última revisão:
171121
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE
[do] DOI:10.1136/bmjopen-2016-012446


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[PMID]:28302696
[Au] Autor:White LN; Thio M; Owen LS; Kamlin CO; Sloss S; Hooper SB; Davis PG; Dawson JA
[Ad] Endereço:The Royal Melbourne Hospital Academic Centre, University of Melbourne, Melbourne, Victoria, Australia.
[Ti] Título:Achievement of saturation targets in preterm infants <32 weeks' gestational age in the delivery room.
[So] Source:Arch Dis Child Fetal Neonatal Ed;102(5):F423-F427, 2017 Sep.
[Is] ISSN:1468-2052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To reduce the risks of hypoxia and hyperoxia in preterm infants in the delivery room; national and international guidelines recommend titrating supplemental oxygen delivery to achieve specific oxygen saturation (SpO ) targets. Our aim was to measure the proportion of time infants <32 weeks' gestation spent within and outside prescribed SpO targets during the first 10 min after birth. METHOD: Prospective observational study using data from a preductal SpO sensor and oxygen analyser measuring fraction of inspired oxygen (FiO ) in the inspiratory limb of the respiratory circuit. Measurements of SpO , heart rate and FiO were recorded every 2 s. We assessed compliance with the upper SpO limit only when infants were receiving supplemental oxygen. SpO measurements were recorded as being below, within or above the target at each time point. We measured the number of times infants were continuously below or above the target range for more than 30 s. RESULTS: Twenty-seven infants; mean (SD) 28 (3.4) weeks and 962 (370) g were studied. Infants were below, within and above the prescribed targets for 28%, 35% and 37% of the first 10 min after birth, respectively. CONCLUSIONS: Preterm infants spent almost two-thirds of the first 10 min after birth with oxygen saturations outside prescribed target ranges. New titration strategies are required to reduce the risks of hypoxia and hyperoxia.
[Mh] Termos MeSH primário: Recém-Nascido Prematuro
Oximetria
Oxigenoterapia
[Mh] Termos MeSH secundário: Salas de Parto
Feminino
Idade Gestacional
Frequência Cardíaca
Seres Humanos
Recém-Nascido
Masculino
Estudos Prospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1136/archdischild-2015-310311


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[PMID]:28302085
[Au] Autor:Bracco F; Masini M; De Tonetti G; Brogioni F; Amidani A; Monichino S; Maltoni A; Dato A; Grattarola C; Cordone M; Torre G; Launo C; Chiorri C; Celleno D
[Ad] Endereço:Department of Educational Sciences, University of Genoa, Corso A. Podestà, 2, 16128, Genoa, Italy. fabrizio.bracco@unige.it.
[Ti] Título:Adaptation of non-technical skills behavioural markers for delivery room simulation.
[So] Source:BMC Pregnancy Childbirth;17(1):89, 2017 Mar 17.
[Is] ISSN:1471-2393
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Simulation in healthcare has proved to be a useful method in improving skills and increasing the safety of clinical operations. The debriefing session, after the simulated scenario, is the core of the simulation, since it allows participants to integrate the experience with the theoretical frameworks and the procedural guidelines. There is consistent evidence for the relevance of non-technical skills (NTS) for the safe and efficient accomplishment of operations. However, the observation, assessment and feedback on these skills is particularly complex, because the process needs expert observers and the feedback is often provided in judgmental and ineffective ways. The aim of this study was therefore to develop and test a set of observation and rating forms for the NTS behavioural markers of multi-professional teams involved in delivery room emergency simulations (MINTS-DR, Multi-professional Inventory for Non-Technical Skills in the Delivery Room). METHODS: The MINTS-DR was developed by adapting the existing tools and, when needed, by designing new tools according to the literature. We followed a bottom-up process accompanied by interviews and co-design between practitioners and psychology experts. The forms were specific for anaesthetists, gynaecologists, nurses/midwives, assistants, plus a global team assessment tool. We administered the tools in five editions of a simulation training course that involved 48 practitioners. Ratings on usability and usefulness were collected. RESULTS: The mean ratings of the usability and usefulness of the tools were not statistically different to or higher than 4 on a 5-point rating scale. In either case no significant differences were found across professional categories. CONCLUSION: The MINTS-DR is quick and easy to administer. It is judged to be a useful asset in maximising the learning experience that is provided by the simulation.
[Mh] Termos MeSH primário: Competência Clínica
Eclampsia/terapia
Emergências
Equipe de Assistência ao Paciente
Hemorragia Pós-Parto/terapia
Convulsões/terapia
Treinamento por Simulação
Inércia Uterina/terapia
[Mh] Termos MeSH secundário: Adulto
Anestesiologia/educação
Cognição
Comunicação
Salas de Parto
Feminino
Feedback Formativo
Seres Humanos
Relações Interprofissionais
Masculino
Enfermagem Materno-Infantil/educação
Meia-Idade
Tocologia/educação
Obstetrícia/educação
Hemorragia Pós-Parto/etiologia
Gravidez
Convulsões/etiologia
Habilidades Sociais
Hemorragia Uterina/terapia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170318
[St] Status:MEDLINE
[do] DOI:10.1186/s12884-017-1274-z


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[PMID]:28285754
[Au] Autor:Halling C; Sparks JE; Christie L; Wyckoff MH
[Ad] Endereço:Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: cecilie.halling@childrens.com.
[Ti] Título:Efficacy of Intravenous and Endotracheal Epinephrine during Neonatal Cardiopulmonary Resuscitation in the Delivery Room.
[So] Source:J Pediatr;185:232-236, 2017 Jun.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A retrospective examination is presented of intravenous vs a lower (0.03?mg/kg) and higher (0.05?mg/kg) dose of endotracheal epinephrine during delivery room cardiopulmonary resuscitation. Repeated dosing of intravenous and endotracheal epinephrine is needed frequently for successful resuscitation. Research regarding optimal dosing for both routes is needed critically.
[Mh] Termos MeSH primário: Asfixia Neonatal/tratamento farmacológico
Broncodilatadores/administração & dosagem
Reanimação Cardiopulmonar/métodos
Salas de Parto
Epinefrina/administração & dosagem
[Mh] Termos MeSH secundário: Relação Dose-Resposta a Droga
Feminino
Mortalidade Hospitalar
Seres Humanos
Hipóxia-Isquemia Encefálica/epidemiologia
Recém-Nascido
Infusões Intravenosas
Intubação Intratraqueal
Masculino
Estudos Retrospectivos
Texas/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bronchodilator Agents); YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE


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[PMID]:28218962
[Au] Autor:Izquierdo M; Iriondo M; Ruiz C; Zeballos G; Sánchez M; González E; Vento M; Thió M; Neonatal Resuscitation Group of the Spanish Neonatal Society (SENeo)
[Ad] Endereço:Division of Neonatology, BCNatal Hospital Sant Joan de Déu-Hospital Clínic, Esplugues de Llobregat (Barcelona), Spain.
[Ti] Título:Survey of neonatal resuscitation practices showed post-training improvements but need to reinforce preterm management, monitoring and adrenaline use.
[So] Source:Acta Paediatr;106(6):897-903, 2017 Jun.
[Is] ISSN:1651-2227
[Cp] País de publicação:Norway
[La] Idioma:eng
[Ab] Resumo:AIM: Neonatal resuscitation surveys have showed practice variations between countries, centres and levels of care. We evaluated delivery room practices after a nationwide neonatal resuscitation training programme focused on nontertiary centres. METHODS: A 2012 survey sent to all Spanish hospitals handling deliveries covered staff availability and training, equipment and practices in the delivery room and during transfers to neonatal intensive care units. The results from 98 centres that had completed a previous survey in 2007 were analysed by levels of care. Pearson's chi-square test was used to compare the proportions. RESULTS: The following had significantly improved in 2012 compared to 2007: the availability of T-piece resuscitators (71.4% vs. 41.8%), plastic wraps (69.4% vs. 31.6%), gas blenders (79.6% vs. 40.8%), pulse oximetry (92.9% vs. 61.2%), use of continuous positive airway pressure (82.7% vs. 43.9%) (all p < 0.01), the availability of instructors (55.6% vs. 83.3%, p < 0.05) and neonatal resuscitation courses (40.8% vs. 79.6%, p < 0.05) in nontertiary centres. In 2012, the use of exhaled carbon dioxide detectors was <7% and endotracheal administration of adrenaline was >90%. CONCLUSION: Neonatal resuscitation equipment and practices improved over time, but several aspects needed to be reinforced in training programmes, namely preterm infants' management, monitoring and adrenaline administration.
[Mh] Termos MeSH primário: Ressuscitação/normas
[Mh] Termos MeSH secundário: Salas de Parto/recursos humanos
Salas de Parto/normas
Fidelidade a Diretrizes
Seres Humanos
Lactente Extremamente Prematuro
Recém-Nascido
Ressuscitação/instrumentação
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.1111/apa.13791


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[PMID]:28187836
[Au] Autor:Gogle J
[Ti] Título:Using Simulation-Based Learning to Prepare for a Potential Cardiac Emergency on the Labor Unit.
[So] Source:Nurs Womens Health;21(1):20-27, 2017 Feb - Mar.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Cardiac arrest on the labor unit is a rare event, but it can have significant effects on a woman and her fetus, as well as on the clinicians providing health care. Our labor team was challenged to provide care for a woman with a rare cardiac condition that can cause a wide range of events, from fainting to cardiac arrest. This article describes our use of simulation-based learning to prepare for potential scenarios.
[Mh] Termos MeSH primário: Parada Cardíaca/enfermagem
Aprendizagem
Serviços de Saúde Materna/normas
Simulação de Paciente
[Mh] Termos MeSH secundário: Salas de Parto/normas
Seres Humanos
Serviços de Saúde Materna/recursos humanos
Ensino/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170212
[St] Status:MEDLINE


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[PMID]:28104686
[Au] Autor:O'Dowd A
[Ad] Endereço:London.
[Ti] Título:Maternity units face challenging workforce gaps, MPs are told.
[So] Source:BMJ;356:j322, 2017 Jan 19.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Salas de Parto/tendências
Recursos Humanos em Saúde/tendências
Tocologia/tendências
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Gravidez
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j322



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