Changes in care associated with the introduction of a postpartum hemorrhage patient safety program

Justin R. Lappen*, Dominika Seidman, Carol Burke, Kris Goetz, William A. Grobman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Objective To determine whether the introduction of a postpartum hemorrhage (PPH) patient safety program was associated with changes in patient care or outcomes. Study Design A multipronged patient safety program regarding PPH was instituted at a tertiary care maternity hospital. Patient care and outcomes were assessed for 6 months prior to (period A) and 6 months after (period B) program institution. Results In all, 278 and 341 women were diagnosed with PPH during periods A and B, respectively. Women who had a PPH after the program were more likely to receive more than one dose of prostaglandin F2 α (24% versus 9%, p = 0.01) and more than one type of uterotonic (34% versus 25%, p = 0.02) and to have a B-lynch suture placed (9.4% versus 4.7%, p = 0.03). The frequency of blood transfusion, hysterectomy, and intensive care unit admission were similar between periods. Conclusion Introduction of a PPH safety program resulted in several indications of a more quickly escalated response.

Original languageEnglish (US)
Pages (from-to)833-838
Number of pages6
JournalAmerican journal of perinatology
Volume30
Issue number10
DOIs
StatePublished - 2013

Keywords

  • patient safety
  • postpartum hemorrhage
  • protocol

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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