Practice Plan

The Council on Patient Safety in Women's Health Care developed comprehensive bundles and list of resources that apply to the prevention of harm from PPH and other maternal safety issues. The bundles are a roadmap for hospitals to use in the prevention of harm for these two pregnancy-related conditions.
It is important to remember that approach to management of PPH depends on the etiology in a patient who has had a vaginal delivery or a cesarean section. Treatment of atony depends on the route of delivery. Coagulopathies are managed medically whilst trauma-related PPH is managed surgically.

Technology Plan

Suggested practices and technologies are limited to those proven to show benefit or are the only known technologies with a particular capability. As other options may exist, please send information on any additional technologies, along with appropriate evidence, to info@patientsafetymovement.org.

Metrics

Topic 1

Severe Maternal Morbidity among Hemorrhage Cases

Outcome Measure Formula

Numerator: Among the denominator, all cases with any non-transfusion SMM code
Denominator: All mothers during their birth admission, excluding extopics and miscarriages, meeting one of the following criteria:

Metric Recommendations

Direct Impact: All Pregnant Patients
Lives Spared Harm:
\(Lives\ =\ \left(SSM\ Rate_{baseline}-\ SMM\ Rate_{measurement}\ \right)\ x\ Deno\min ator_{baseline}\)
Notes:  Since this is a morbidity measure, the lives saved calculation is not applicable. 
Data Collection: HDD File (ICD9/ICD10)

Topic 2