Quality and Safety Programs in Obstetrics and Gynecology

Bundles for Maternal Safety: Promises and Challenges of Bundle Implementation: The Case of Obstetric Hemorrhage

ATALLAH, FOUAD MD*; GOFFMAN, DENA MD†

Author Information

*Department of Obstetrics & Gynecology, Maimonides Medical Center, Brooklyn

†Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York

The authors declare that they have nothing to disclose.

Correspondence: Dena Goffman, MD, Columbia University Irving Medical Center, PH 16-74, New York, NY. E-mail: [email protected]

Clinical Obstetrics and Gynecology 62(3):p 539-549, September 2019. | DOI: 10.1097/GRF.0000000000000470

Abstract

Obstetric hemorrhage remains a leading cause of severe maternal morbidity and mortality in the United States. The National Partnership for Maternal Safety Consensus Bundle on Obstetric Hemorrhage presented a framework to help focus standardization and improvements efforts for obstetric hemorrhage. The critical elements of readiness, recognition and prevention, response, and reporting/systems learning, are described and salient points within each are highlighted. New York state implementation efforts, tools that may help translate the bundle into practice, and remaining challenges, are described.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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