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Lead

Thomas Ivester, MD, MPH

Aim

To reduce incidence of peripartum hemorrhage and associated maternal morbidities and to decrease use of blood products.

2016 IHQI Symposium Presentation

(Peripartum Hemmorhage Reduction Segment: 3:00–32:00 minutes of Improvement Scholars Symposium 2nd Half)

Project Accomplishments

  • Big wins: hemorrhage cart in Labor & Delivery, medication hemorrhage kits in the medication stations, formulation of an interdisciplinary simulation committee for Women’s Hospital and hemorrhage risk added to rounding in L&D.
  • Past project being leveraged to develop perinatal safety program for UNC Health Care System, which includes proposal to AHRQ for $5 million grant support.
  • New simulation program established, which is expanding to include other clinical scenarios.
  • Spurred the training of over 200 people in TeamSTEPPS.
  • Joined forces with PQCNC (Perinatal Quality Collaborative of NC) and formed a multi-disciplinary committee in order to align with the national “Safe Healthcare for Every Woman” initiative.
  • Developed a system for quantitative blood loss for every patient in order to support early identification and intervention of post-partum hemorrhage.
  • Women’s SharePoint site developed that will include a “post-partum hemorrhage toolkit.” This is a centralized location for all of our algorithms and policies, as well as a wet/dry weight calculator to better assist in the early detection/intervention in the event of a hemorrhage.
  • Forming a UNC system-wide team to create a code style narrator in Epic in order to improve the quality of both charting a hemorrhage and data collection.