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Perinatal Quality Collaborative of North Carolina

Page One

PQCNC AIM Obstetrical Hemorrhage Snapshot

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4. Does your facility utilize simulation, including reflective debriefs, to educate staff on obstetric hemorrhage? *This question is required.
5. Has your facility established a system in your hospital to perform regular formal debriefs after cases with major complications?  *This question is required.
6. Has your facility established a process to perform multidisciplinary systems-level reviews on all cases of severe maternal morbidity (including women admitted to the ICU or receiving ≥4 units RBC transfusions)? *This question is required.
7. Does your facility have OB hemorrhage supplies readily available, typically in a cart or mobile box?  *This question is required.
8. Does your facility have an OB hemorrhage policy and procedure (reviewed and updated in the last 2-3 years) that:

•    Provides a unit-standard approach using a stage-based management plan with checklists
•    Ensures availability to OB hemorrhage supplies at all times  *This question is required.
9. Has your facility integrated some of the recommended OB Hemorrhage bundle processes (i.e. order sets, tracking tools) into your hospital’s Electronic Health Record system?  *This question is required.
10. Has your facility developed OB specific resources and protocols to support patients, family and staff through major OB complications?  *This question is required.
11. Does your hospital ensure that every patient has contact with her baby as soon as she is alert and medically stable (contact may include: video call, bringing baby to bedside, taking mom to baby, providing photographs, etc.)? *This question is required.
12. Does your hospital assess every patient’s desire to begin breastfeeding and/or pumping as soon as she is medically stable, regardless of inpatient unit (e.g., ICU)? *This question is required.
13. Does your hospital address the emotional trauma of the event with every patient by normalizing emotional symptoms and providing resources for assisting both patient and family, including the offer of a consult with social work/psychologist/chaplain/etc. prior to discharge, when available?  *This question is required.
14. Does your hospital ensure that every patient receives thorough discharge education (including, for example, information on: postpartum hemorrhage, hysterectomy, addressing iron deficiency, blood loss, and trauma)? *This question is required.
15. Does your hospital offer every patient and family a post-discharge debrief following a hemorrhage event (debrief should address, for example: estimated blood loss, amount of blood patient received, hemorrhage severity/classification, time/line narrative of event and interventions provided, review of the medical record)?  *This question is required.
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If no drills conducted answer "None" here
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