为伊利诺伊州急诊科教育开发产妇保健工具包。

IF 2.8 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues Pub Date : 2024-11-01 DOI:10.1016/j.whi.2024.08.001

Katherine A. Craemer MPH , Lauren Sayah MPH , Emilie Glass MA , Shirley Scott DNP , Daniel R. Wachter MD, MPH , Cara J. Bergo PhD, MPH , Stacie E. Geller PhD, MPA

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引用次数: 0

摘要

背景：伊利诺伊州大多数与妊娠相关的死亡都是可以预防的。在近几年的死亡病例中，许多人在怀孕期间或产后至少去过一次急诊室（ED）。这表明，通过适当的培训和教育，急诊科可以在降低孕产妇死亡率方面发挥重要作用：由来自伊利诺伊州的 33 名跨学科利益相关者组成的特别工作组在一年内每月召开一次会议，收集和开发以产科急诊医学为重点的教育内容，并制作孕产妇健康急诊科工具包（Toolkit）培训。一项调查和倾听会议收集了利益相关者对支持工具包开发的因素、障碍和类似项目建议的反馈意见：工作组成员对现有工具进行了改编，并开发了新的资源，以填补急诊室孕产妇健康教育方面的空白。工具包由五个教育模块组成，包括说教信息、基于案例的学习以及用于补充阅读和本地实施的资源。这些模块的重点是伊利诺伊州孕产妇死亡审查委员会提出的急诊室建议、围产期患者的分诊和急诊管理、精神健康和药物使用状况的筛查和治疗、创伤处理、孕期复苏以及围产期患者从急诊室安全协调出院。工作组成员认为，邀请具有跨学科知识的专家参与、以小组形式开展工作以及将教育内容建立在孕产妇健康数据的基础上，都是该项目的成功因素。他们认为时间安排上的冲突是一个挑战，并建议今后类似的项目应包括更多的急诊室提供者和工作人员：通过促进跨学科参与、教育以及与产科和其他服务项目的合作，该工具包可帮助填补伊利诺伊州在孕产妇急诊室教育方面的空白，从而降低孕产妇死亡率和发病率。

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Development of a Maternal Health Toolkit for Emergency Department Education in Illinois

Background

Most pregnancy-related deaths in Illinois are preventable. Many of those who died in recent years had at least one emergency department (ED) visit during pregnancy or the postpartum period. This suggests that with the proper training and education, EDs can play an important role in reducing maternal mortality.

Methods

A Task Force of 33 interdisciplinary stakeholders from across Illinois met monthly over 1 year to gather and develop educational content focused on obstetric emergency medicine and produce the Maternal Health Emergency Department Toolkit (Toolkit) training. A survey and listening session collected stakeholders’ feedback about factors that supported Toolkit development, barriers, and recommendations for similar projects.

Results

The Task Force members adapted existing tools and developed novel resources to fill the gaps in maternal health education for the ED setting. The Toolkit consists of five educational modules including didactic information, case-based learning, and resources for additional reading and local implementation. The modules focus on ED recommendations from the Illinois Maternal Mortality Review Committees, triage and management of emergencies in perinatal patients, screening and treatment of mental health and substance use conditions, addressing trauma, performing resuscitation during pregnancy, and conducting safe and coordinated discharge of perinatal patients from the ED. Task Force members described the inclusion of experts with interdisciplinary knowledge, working in small groups, and grounding the educational content in maternal health data as factors contributing to the project's success. They identified scheduling conflicts as a challenge and recommended future projects like this one include more ED providers and staff members.

Conclusion

Through promoting cross-disciplinary engagement, education, and collaboration with obstetrics and other service lines, the Toolkit can help fill the gaps in maternal ED education to decrease maternal mortality and morbidity in Illinois.

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来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.