Abstract：
The past 2 decades have seen dramatic growth in the number of obstetrics and gynecology hospitalists, and many hospitals have created obstetrical-specific emergency departments. The goals of an obstetrics emergency department are to provide safe and efficient care to the pregnant dyad and postpartum patient, while generating revenue for emergency services provided. In an obstetrics emergency department, all patients must be evaluated in person by a licensed practitioner, whereas historically they may have been evaluated in person by nursing staff or a trainee. We make the argument that formation of an obstetrics emergency department has the potential to improve the safety and quality of patient care. In addition, the financial benefits to institutions are substantial and can subsidize the cost of maintaining obstetrician presence all the time in the hospital. There are various regulatory requirements to become certified, accredited, and licensed as an emergency department. In addition, there are many operational and systems issues that institutions should consider before implementation. We provide a guide for healthcare systems considering creating an obstetrics emergency department.
摘要：
在过去的二十年中，妇产科住院医师（OB/GYN住院医师）的数量急剧增长，许多医院都设立了产科急诊科。产科急诊科（OBED）的目标是为孕妇和产后患者提供安全有效的护理，同时也为提供的紧急服务创造收入。在OBED中，所有患者必须由持牌医生亲自评估，而从历史上看，它们可能是由护理人员或受训者亲自评估的。我们认为，OBED的形成有可能提高患者护理的安全性和质量。此外,机构的经济利益是巨大的，可以补贴维持24/7产科医生在医院的费用。有各种监管要求才能获得认证，被认可和许可为急诊科。机构在实施之前还应该考虑许多业务和系统问题。我们为考虑创建OBED的医疗保健系统提供指南。
