新生儿锁骨骨折是指在分娩过程中发生的骨折,是新生儿产伤性骨折中最常见的一种。上海第一妇婴保健院5年内28 482例活婴中,锁骨骨折606例,占2.13%,多见于重体重儿[1]。发生新生儿锁骨骨折,产妇和家属往往因不能理解而引发医疗纠纷,也困扰着医护人员。PDCA循环管理法是按照计划、实施、检查、处理4个阶段进行质量管理并循环不止的一种管理程序[2]。针对新生儿锁骨骨折发生率较高的情况,我院自2009年1月起在 Neonatal clavicle fracture is a fracture that occurs during childbirth and is the most common type of neonatal traumatic fracture. Shanghai First Maternal and Child Health Hospital, 28 482 live babies within 5 years, 606 cases of clavicular fractures, accounting for 2.13%, more common in children with heavy body weight [1]. Newborns with clavicular fractures, maternal and family members often lead to medical disputes because they can not understand, but also plagued health care workers. The PDCA cycle management method is a kind of management procedure that carries out quality management and circulates more than four stages according to plan, implement, check and handle [2]. In view of the high incidence of clavicular fracture in neonates, our hospital since January 2009 in