Peripartum Hemorrhage Reduction
Thomas Ivester, MD, MPH
To reduce incidence of peripartum hemorrhage and associated maternal morbidities and to decrease use of blood products.
- 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.