Improving hospital systems for the care of women with major obstetric hemorrhage

Obstetrics and Gynecology
Daniel W SkupskiGary S Eglinton

Abstract

When 2 maternal deaths due to hemorrhage occurred at New York Hospital Queens in 2000-2001, a multidisciplinary team implemented systemic change. Our objective was to improve outcomes of episodes of major obstetric hemorrhage. We report outcomes before (2000-2001) and after (2002-2005) the introduction of a patient safety program aimed at improving the care of women with major obstetric hemorrhage. Process changes were instituted in late 2001 at the direction of a multidisciplinary patient safety team. A rapid response team was formulated using the cardiac arrest team as a model. Protocols for early diagnosis, assessment, and management of patients at high risk for major obstetric hemorrhage were developed and communicated to staff. There were significant increases in cesarean births (P < .001), repeat cesarean births (P = .002), and cases of major obstetric hemorrhage (P = .02) between the periods of 2000-2001 and 2002-2005. There was a significant improvement in mortality due to hemorrhage (P = .036), lowest pH (P = .004), and lowest temperature (P < .001) when comparing 2000-2001 with 2002-2005. There were no differences in measures of severity of obstetric hemorrhage between the 2 periods, including Acute Physiology and Chr...Continue Reading

References

Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Jul 1, 1997·American Journal of Obstetrics and Gynecology·D A MillerT M Goodwin
Jan 5, 2002·Obstetrics and Gynecology·UNKNOWN ACOG Committee on Obstetric Practice
Jun 8, 2002·Obstetrics and Gynecology·Elana S KastnerDev Maulik
May 29, 2004·American Journal of Obstetrics and Gynecology·Fatu FornaDenise J Jamieson
Sep 24, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Mumtaz Rashid, Rabia S Rashid
Dec 16, 2004·The New England Journal of Medicine·Michael F Greene

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Citations

Sep 11, 2012·International Journal of Obstetric Anesthesia·A J Butwick
Jul 8, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Corinne DupontUNKNOWN Pithagore6 group
May 2, 2009·Clinical Obstetrics and Gynecology·Mahantesh Karoshi, Louis Keith
Feb 10, 2010·Clinical Obstetrics and Gynecology·Richard P Porreco, Robert W Stettler
Jul 28, 2010·Clinical Obstetrics and Gynecology·Susan Mann, Stephen Pratt
Aug 25, 2011·Implementation Science : IS·Deborah E WhiteAlan J Forster
Nov 11, 2010·Journal of Emergencies, Trauma, and Shock·Hanan M F Al Kadri
Jul 3, 2013·Obstetrics and Gynecology·Elizabeth A HowellNatalia Egorova
Feb 9, 2012·Primary Care·Cindy W Su
Jan 28, 2012·Seminars in Perinatology·Sina Haeri, Gary A Dildy
Jun 3, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marie-Pierre BonnetMarie-Hélène Bouvier-Colle
Mar 30, 2011·Hematology/oncology Clinics of North America·Lorraine ChowWilliam R Camann
Mar 15, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lavanya VaratharajanSabaratnam Arulkumaran
Dec 25, 2010·Journal of Vascular and Interventional Radiology : JVIR·Suvranu GanguliChieh-Min Fan
Mar 2, 2010·Journal of Critical Care·Jack ChenUNKNOWN MERIT Study Investigators for the Simpson Centre and the ANZICS Clinical Trials Group
Oct 10, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·G Justus HofmeyrJoy E Lawn
Apr 21, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·P LefèvreM Dreyfus
Mar 28, 2009·Seminars in Perinatology·Monjri Shah, Jason D Wright
Oct 30, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Anne-Sophie Ducloy-BouthorsJérôme Sicot
Mar 10, 2016·Der Anaesthesist·J KnappH Lier
Mar 22, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J R Cruz
May 1, 2007·The Veterinary Clinics of North America. Small Animal Practice·Karen FauntWill Novak
Jul 21, 2015·Cirugia y cirujanos·Javier Dávila-TorresMarcelino Hernández-Valencia
Jun 23, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·E AudureauM-H Bouvier-Colle
Jun 25, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·C Deneux-TharauxR Rudigoz
Sep 4, 2007·Clinics in Perinatology·Amos Grunebaum
Jul 16, 2014·American Journal of Obstetrics and Gynecology·Brett D EinersonWilliam A Grobman
Apr 10, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Jason D WrightMary E D'Alton
Mar 23, 2011·American Journal of Obstetrics and Gynecology·Jason D WrightPatricia Devine
Jul 31, 2013·American Journal of Obstetrics and Gynecology·Jennifer L BailitUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network
Jul 16, 2014·American Journal of Obstetrics and Gynecology·Laurence E ShieldsBarbara Pelletreau
Nov 16, 2011·American Journal of Obstetrics and Gynecology·Laurence E ShieldsMarilyn Propst
May 1, 2007·American Journal of Obstetrics and Gynecology·Wendy L Nelson, John M O'Brien
May 6, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ruta J NadisauskieneJustina Kacerauskiene
Jun 6, 2016·Fertility and Sterility·Antonella CromiFabio Ghezzi
Oct 21, 2016·The Journal of Obstetrics and Gynaecology Research·Moon Seong BaekSang-Bum Hong
Jan 19, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Caitlin GillespieShannon M Hawkins
Jun 29, 2017·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Timothy M CrozierEuan M Wallace
Jan 2, 2007·Obstetrics and Gynecology·John M O'Brien
Sep 9, 2017·Obstetrics and Gynecology·Daniel W SkupskiGary S Eglinton
Sep 25, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins-Obstetrics
Apr 10, 2018·Clinical Obstetrics and Gynecology·Amir A Shamshirsaz, Gary A Dildy

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