OBJECTIVE: To identify the presence or absence of 38 postpartum hemorrhage preparedness elements in hospitals in New Jersey and Georgia as a component of the Postpartum Hemorrhage Project of the Association of Women's Health, Obstetric and Neonatal Nurses. DESIGN: Quality improvement baseline assessment survey. SETTING: Hospitals (N = 95) in New Jersey and Georgia. PARTICIPANTS: Key informants were clinicians who were members of their hospitals' obstetric teams and were recognized as knowledgeable about their hospitals' postpartum hemorrhage policies. METHODS: An electronic survey was sent by e-mail to each identified hospital's key informant. RESULTS: The mean number of elements present was 23.1 (SD = 5.2; range = 12-34). Volume of births, students, magnet status, and other hospital characteristics did not predict preparedness. None of the hospitals had all of the 38 preparedness elements available. Less than 50% of the hospitals had massive hemorrhage protocols, performed risk assessments and drills, or measured blood loss. For every 10% increase in the total percentage of African American women who gave birth, there was a decrease of one preparedness element. CONCLUSION: Objective measures of preparedness are needed, because perceptions of preparedness were inconsistent with the number of preparedness elements reported.
OBJECTIVE: To identify the presence or absence of 38 postpartum hemorrhage preparedness elements in hospitals in New Jersey and Georgia as a component of the Postpartum Hemorrhage Project of the Association of Women's Health, Obstetric and Neonatal Nurses. DESIGN: Quality improvement baseline assessment survey. SETTING: Hospitals (N = 95) in New Jersey and Georgia. PARTICIPANTS: Key informants were clinicians who were members of their hospitals' obstetric teams and were recognized as knowledgeable about their hospitals' postpartum hemorrhage policies. METHODS: An electronic survey was sent by e-mail to each identified hospital's key informant. RESULTS: The mean number of elements present was 23.1 (SD = 5.2; range = 12-34). Volume of births, students, magnet status, and other hospital characteristics did not predict preparedness. None of the hospitals had all of the 38 preparedness elements available. Less than 50% of the hospitals had massive hemorrhage protocols, performed risk assessments and drills, or measured blood loss. For every 10% increase in the total percentage of African American women who gave birth, there was a decrease of one preparedness element. CONCLUSION: Objective measures of preparedness are needed, because perceptions of preparedness were inconsistent with the number of preparedness elements reported.
Authors: Audrey A Merriam; Jason D Wright; Zainab Siddiq; Mary E D'Alton; Alexander M Friedman; Cande V Ananth; Brian T Bateman Journal: J Matern Fetal Neonatal Med Date: 2017-04-03
Authors: Sarah Frances Bell; Thomas Kitchen; Miriam John; Cerys Scarr; Kevin Kelly; Christopher Bailey; Kathryn James; Adam Watkins; Elinore Macgillivray; Tracey Edey; Kathryn Greaves; Ingrid Volikas; James Tozer; Niladril Sengupta; Claire Francis; Rachel Collis; Peter Collins Journal: BMJ Open Qual Date: 2020-04