{"id":12111,"date":"2026-01-08T15:49:50","date_gmt":"2026-01-08T15:49:50","guid":{"rendered":"https:\/\/ockendenmatdev.wpenginepowered.com\/termeni-de-referinta-pentru-revizuirea-maternitatii\/"},"modified":"2026-03-24T14:25:49","modified_gmt":"2026-03-24T14:25:49","slug":"termeni-de-referinta-pentru-revizuirea-maternitatii","status":"publish","type":"page","link":"https:\/\/www.ockendenmaternityreview.org.uk\/ro\/termeni-de-referinta-pentru-revizuirea-maternitatii\/","title":{"rendered":"Termeni de referin\u021b\u0103 pentru revizuirea maternit\u0103\u021bii"},"content":{"rendered":"\n

octombrie 2019<\/strong><\/p>\n\n

Care sunt termenii de referin\u021b\u0103?<\/h2>\n\n

Termenii de referin\u021b\u0103 de mai jos sunt instruc\u021biunile date echipei de revizuire \u0219i stabilesc limitele specifice de responsabilitate care determin\u0103 activit\u0103\u021bile revizuirii. Termenii de referin\u021b\u0103 ne spun ce putem \u0219i ce nu putem face. <\/p>\n\n

Revizuirea independent\u0103 a serviciilor de maternitate la Shrewsbury \u0219i Telford Hospital NHS Trust<\/h2>\n\n

Prezidat de Donna Ockenden<\/h3>\n\n

Termeni de referin\u021b\u0103 revizui\u021bi, octombrie 2019<\/h3>\n\n
    \n
  1. Acest document stabile\u0219te termenii de referin\u021b\u0103 revizui\u021bi pentru revizuirea independent\u0103 a serviciilor de maternitate la Shrewsbury and Telford Hospital NHS Trust, care a fost comandat\u0103 \u00een 2017 de c\u0103tre secretarul de stat pentru s\u0103n\u0103tate. Ace\u0219ti Termeni de referin\u021b\u0103 actualiza\u021bi reflect\u0103 modific\u0103ri ale domeniului de aplicare al revizuirii. <\/li>\n\n\n\n
  2. Mandatul ini\u021bial prevedea „revizuirea independent\u0103 a calit\u0103\u021bii investiga\u021biilor \u0219i punerea \u00een aplicare a recomand\u0103rilor acestora, referitoare la o serie de presupuse decese neonatale \u0219i materne care puteau fi evitate, precum \u0219i cazuri de maternitate evitabil\u0103 \u0219i v\u0103t\u0103m\u0103ri ale nou-n\u0103scu\u021bilor la spitalele Shrewsbury \u0219i Telford (trustul). Revizuirea va fi condus\u0103 de NHS Improvement \u0219i NHS England \u0219i va acoperi incidentele ridicate cu secretarul de stat \u00eentr-o scrisoare din 6 decembrie 2016 prin care se solicit\u0103 o anchet\u0103 independent\u0103. Termeni de referin\u021b\u0103, mai 2017.<\/li>\n\n\n\n
  3. \u00cen urma lans\u0103rii ini\u021biale a revizuirii, mai multe familii \u0219i-au exprimat \u00eengrijorarea cu privire la \u00eengrijirea lor. NHS Improvement a comandat o revizuire Open Book a \u00eenregistr\u0103rilor Trust, care a identificat, de asemenea, cazuri suplimentare pentru revizuire. Ace\u0219ti doi factori au condus la o extindere a domeniului de aplicare al evalu\u0103rii independente ini\u021biale. <\/li>\n<\/ol>\n\n

    Fond <\/h3>\n\n
      \n
    1. Aceast\u0103 revizuire urmeaz\u0103 unei serii de incidente clinice grave, \u00eencep\u00e2nd cu un nou-n\u0103scut care, din p\u0103cate, a murit \u00een 2009; un incident care nu a fost gestionat, investigat sau recunoscut \u00een mod corespunz\u0103tor de c\u0103tre Trust la momentul respectiv. \u00cen anii urm\u0103tori, din 2009 p\u00e2n\u0103 \u00een 2014, au fost efectuate, de asemenea, o serie de investiga\u021bii \u0219i revizuiri suplimentare (interne \u0219i externe) pentru a confirma dac\u0103; \n
        \n
      1. au fost efectuate investiga\u021bii corespunz\u0103toare \u0219i; <\/li>\n\n\n\n
      2. Procesele de asigurare referitoare la investiga\u021biile din cadrul serviciului de maternitate au fost adecvate. <\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n

        Guvernare<\/h3>\n\n
          \n
        1. Revizuirea a fost comandat\u0103 de secretarul de stat pentru s\u0103n\u0103tate. <\/li>\n\n\n\n
        2. Ofi\u021berul responsabil principal al NHS pentru revizuire este directorul medical na\u021bional al NHS Improvement \u0219i NHS England, care va actualiza periodic Departamentul de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103 cu privire la progres.<\/li>\n\n\n\n
        3. Revizuirea va continua s\u0103 fie condus\u0103 de pre\u0219edintele independent, Donna Ockenden, iar raportul final va fi prezentat Departamentului de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103. <\/li>\n\n\n\n
        4. Pre\u0219edintele va fi sprijinit de echipa de revizuire, o echip\u0103 clinic\u0103 multidisciplinar\u0103 format\u0103 din evaluatori externi independen\u021bi.<\/li>\n<\/ol>\n\n

          Domeniul de aplicare revizuit<\/h3>\n\n
            \n
          1. Reexaminarea va include acum cazuri care au fost identificate de la stabilirea reexamin\u0103rii ini\u021biale. Cazurile \u00een care familiile au contactat diverse organisme cu \u00eengrijor\u0103ri cu privire la propriile experien\u021be de la \u00eenceputul revizuirii ini\u021biale vor avea, de asemenea, supraveghere din partea echipei de revizuire clinic\u0103 care efectueaz\u0103 revizuirea comandat\u0103 de secretarul de stat. Aceste cazuri au fost \u00eenaintate Trustului pentru a stabili dac\u0103 o investiga\u021bie a fost finalizat\u0103 la momentul evenimentelor descrise. „Echipa de revizuire mo\u0219tenit\u0103” a trustului a identificat mai multe cazuri care necesit\u0103 o revizuire extern\u0103 independent\u0103 suplimentar\u0103. Aceste cazuri au fost revizuite de clinicieni exper\u021bi f\u0103r\u0103 nicio asociere sau leg\u0103tur\u0103 cu Trustul. Rapoartele rezultate din aceste revizuiri vor fi prezentate pre\u0219edintelui revizuirii pentru a asigura coeren\u021ba \u0219i pentru a \u00eenregistra orice recomand\u0103ri \u0219i lec\u021bii \u00eenv\u0103\u021bate pentru a fi \u00eemp\u0103rt\u0103\u0219ite pe scar\u0103 mai larg\u0103. Procesele aplicate revizuirii mo\u0219tenirii \u00eencrederii \u0219i procesului de guvernan\u021b\u0103 asociat vor fi, de asemenea, revizuite de echipa de revizuire a maternit\u0103\u021bii pentru a asigura rigoarea \u0219i aplicarea bunelor practici. <\/li>\n<\/ol>\n\n

            Abordarea revizuirii<\/h3>\n\n
              \n
            1. Echipa multidisciplinar\u0103 de revizuire:\n
                \n
              1. Examina\u021bi numai acele cazuri pentru care se acord\u0103 consim\u021b\u0103m\u00e2ntul de a accesa \u00eenregistr\u0103rile referitoare la caz; <\/li>\n\n\n\n
              2. Revizuirea calit\u0103\u021bii investiga\u021biilor \u0219i a rapoartelor ulterioare privind cohorta identificat\u0103 de incidente; <\/li>\n\n\n\n
              3. s\u0103 identifice dac\u0103 investiga\u021biile au abordat \u00een mod corespunz\u0103tor preocup\u0103rile \u0219i problemele relevante generate de aceste incidente; <\/li>\n\n\n\n
              4. s\u0103 stabileasc\u0103 dac\u0103 recomand\u0103rile au fost acceptate \u0219i dac\u0103 ac\u021biunile adecvate au fost puse \u00een aplicare \u00een termenele identificate \u00een planul de ac\u021biune asociat; <\/li>\n\n\n\n
              5. Lua\u021bi \u00een considerare modul \u00een care p\u0103rin\u021bii, pacien\u021bii \u0219i familiile pacien\u021bilor au fost implica\u021bi \u00een timpul acestor investiga\u021bii; <\/li>\n\n\n\n
              6. \u00ce\u0219i rezerv\u0103 dreptul de a efectua o revizuire a celei de-a doua etape a cazurilor primare \u00een cazul \u00een care considera\u021biile de mai sus justific\u0103 o astfel de ac\u021biune \u00een urma acordului cu directorul medical na\u021bional al NHS Improvement \u0219i NHS England; \u0219i <\/li>\n\n\n\n
              7. Echipa de revizuire va prezenta cazurile la nivel intern \u0219i, dup\u0103 caz, va solicita consiliere extern\u0103 suplimentar\u0103 <\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n
                  \n
                1. Dac\u0103 echipa de revizuire identific\u0103 orice preocup\u0103ri semnificative care necesit\u0103 investiga\u021bii sau revizuiri imediate suplimentare, directorul medical na\u021bional al NHS Improvement \u0219i NHS England trebuie notificat imediat.<\/li>\n\n\n\n
                2. Instruc\u021biuni c\u0103tre echipa de revizuire:\n
                    \n
                  1. Avea trustul \u00een vigoare, la momentul fiec\u0103rui incident, mecanisme de guvernare \u0219i supraveghere a incidentelor de maternitate? Are Trustul acest lucru acum? <\/li>\n\n\n\n
                  2. Incidentele \u0219i investiga\u021biile au fost raportate \u0219i efectuate \u00een conformitate cu politicile na\u021bionale \u0219i fiduciare relevante \u00een timp? <\/li>\n\n\n\n
                  3. Exist\u0103 vreo dovad\u0103 c\u0103 s-a tras \u00eenv\u0103\u021b\u0103minte din vreunul dintre incidentele identificate \u0219i din investiga\u021biile ulterioare? <\/li>\n\n\n\n
                  4. Au fost familiile implicate \u00een anchet\u0103 tratate \u00eentr-un mod adecvat \u0219i \u00een\u021beleg\u0103tor? <\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n

                    Principii cheie <\/h3>\n\n
                      \n
                    1. Se preconizeaz\u0103 c\u0103 revizuirea:\n
                        \n
                      1. s\u0103 colaboreze pe scar\u0103 larg\u0103, deschis\u0103 \u0219i transparent\u0103 cu toate p\u0103r\u021bile relevante care particip\u0103 la procesul de revizuire; <\/li>\n\n\n\n
                      2. Fi\u021bi respectuo\u0219i atunci c\u00e2nd ave\u021bi de-a face cu persoane care au fost afectate de incidentele investigate; <\/li>\n\n\n\n
                      3. s\u0103 adopte o abordare bazat\u0103 pe dovezi; <\/li>\n\n\n\n
                      4. s\u0103 recunoasc\u0103 importan\u021ba cooper\u0103rii interprofesionale pentru ob\u021binerea unor rezultate bune pentru femei \u0219i copii; <\/li>\n\n\n\n
                      5. s\u0103 ia \u00een considerare leg\u0103turile cu politica na\u021bional\u0103 relevant\u0103 \u00een func\u021bie de timp \u0219i cu cele mai bune practici \u00een ceea ce prive\u0219te moa\u0219ele, maternitatea, \u00eengrijirea neonatal\u0103 \u0219i obstetric\u0103 \u0219i gestionarea investiga\u021biilor; \u0219i <\/li>\n\n\n\n
                      6. Lua\u021bi \u00een considerare provoc\u0103rile legate de punerea \u00een aplicare a propunerilor, inclusiv for\u021ba de munc\u0103.<\/li>\n\n\n\n
                      7. Gestiona\u021bi datele \u0219i informa\u021biile cu grij\u0103 \u0219i \u00een conformitate cu bunele practici de guvernan\u021b\u0103 a informa\u021biilor <\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n
                          \n
                        1. Pentru familiile care au contactat direct pre\u0219edintele secretarului de stat \u00eens\u0103rcinat cu revizuirea independent\u0103 \u0219i ale c\u0103ror cazuri au fost ini\u021bial investigate de trust, investiga\u021biile acestor cazuri vor fi revizuite. Procesul de revizuire va lua \u00een considerare investiga\u021biile \u0219i planurile de ac\u021biune asociate din fiecare investiga\u021bie a incidentului pentru a se asigura c\u0103 acestea au abordat \u00een mod corespunz\u0103tor preocup\u0103rile relevante \u0219i au fost puse \u00een aplicare de Trust la momentul respectiv. <\/li>\n\n\n\n
                        2. Toate cazurile vor fi revizuite \u00een raport cu politica de \u00eencredere contemporan\u0103 \u0219i cu orient\u0103rile na\u021bionale. <\/li>\n\n\n\n
                        3. \u00cen 2018, NHS Improvement a comandat o revizuire „Open Book” a \u00eenregistr\u0103rilor Trust. Shrewsbury and Telford Hospital NHS Trust a fost solicitat s\u0103 „deschid\u0103 registrele” \u00een leg\u0103tur\u0103 cu datele specifice privind maternitatea de\u021binute de organiza\u021bie de la 1 ianuarie 1998, c\u00e2nd a \u00eenceput raportarea incidentelor la nivel na\u021bional privind Sistemul Strategic de Informa\u021bii Executive (STEIS), p\u00e2n\u0103 la 27 septembrie 2018. Domeniul de aplicare a inclus pacien\u021bi din Anglia \u0219i \u021aara Galilor (Powys). <\/li>\n\n\n\n
                        4. Scopul revizuirii a fost de a determina, \u00een m\u0103sura \u00een care este posibil din punct de vedere rezonabil cu datele disponibile, num\u0103rul de cazuri \u0219i practicile asociate de raportare \u0219i investigare a incidentelor \u00een perioada de timp \u00een ceea ce prive\u0219te:\n
                            \n
                          1. Decese materne <\/li>\n\n\n\n
                          2. Na\u0219teri de copii mor\u021bi <\/li>\n\n\n\n
                          3. Decese neonatale <\/li>\n\n\n\n
                          4. Bebelu\u0219ii diagnostica\u021bi cu encefalopatie ischemic\u0103 hipoxic\u0103 (gradul 2 \u0219i 3)<\/li>\n<\/ol>\n<\/li>\n\n\n\n
                          5. Acest lucru a identificat peste 300 de cazuri care nu par s\u0103 se suprapun\u0103 cu multe alte cazuri cunoscute de echipa de revizuire a maternit\u0103\u021bii. Analiza independent\u0103 va analiza acum modul de \u00eencorporare a acestor cazuri, precum \u0219i a oric\u0103ror altele care apar \u00een urma anchetei, \u00een domeniul s\u0103u de aplicare, pentru a evalua dac\u0103 rezultatele lor au fost rezultatul unor deficien\u021be. <\/li>\n<\/ol>\n\n

                            Resurse<\/h3>\n\n
                              \n
                            1. Cerin\u021bele privind resursele vor fi convenite \u00eentre pre\u0219edintele revizuirii, NHS Improvement \u0219i NHS England \u0219i Departamentul de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103 pentru a se asigura c\u0103 revizuirea este sus\u021binut\u0103 \u00een mod adecvat. <\/li>\n<\/ol>\n\n

                              Interval de timp<\/h3>\n\n
                                \n
                              1. Calendarul general va fi convenit \u00eentre pre\u0219edintele revizuirii, NHS Improvement \u0219i NHS England \u0219i Departamentul de S\u0103n\u0103tate \u0219i Asisten\u021b\u0103 Social\u0103, av\u00e2nd \u00een vedere domeniul extins al revizuirii. <\/li>\n\n\n\n
                              2. Raportul final de revizuire \u0219i propunerile ar trebui s\u0103 fie disponibile \u00een termen de o lun\u0103 de la finalizarea evalu\u0103rii.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                                octombrie 2019 Care sunt termenii de referin\u021b\u0103? Termenii de referin\u021b\u0103 de mai jos sunt instruc\u021biunile date echipei de revizuire \u0219i stabilesc limitele specifice de responsabilitate care determin\u0103 activit\u0103\u021bile revizuirii. Termenii de referin\u021b\u0103 ne spun ce putem \u0219i ce nu putem face. Revizuirea independent\u0103 a serviciilor de maternitate la Shrewsbury \u0219i Telford Hospital NHS Trust Prezidat … Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-narrow.blade.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-12111","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nTermeni de referin\u021b\u0103 pentru revizuirea maternit\u0103\u021bii - Ockenden Review<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ockendenmaternityreview.org.uk\/ro\/termeni-de-referinta-pentru-revizuirea-maternitatii\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Termeni de referin\u021b\u0103 pentru revizuirea maternit\u0103\u021bii - Ockenden Review\" \/>\n<meta property=\"og:description\" content=\"octombrie 2019 Care sunt termenii de referin\u021b\u0103? 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