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首页> 外文期刊>American Journal of Perinatology Reports >Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital
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Implementation of a Postpartum Hemorrhage Safety Bundle at an Urban Safety-Net Hospital

机译：在城市安全网医院实施产后出血安全束

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Background Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality. Standardized response to obstetric hemorrhage is associated with significant improvement in maternal outcomes, yet implementation can be challenging. Objective The primary objective is to describe the methodology for program implementation of the Alliance for Innovation on Maternal Health Safety Bundle on PPH at an urban safety-net hospital. Methods Over an 18-month period, interventions geared toward (1) risk assessment and stratification, (2) hemorrhage identification and management, (3) team communication and simulation, and (4) debriefs and case review were implemented. Hemorrhage risk assessment stratification rates were tracked overtime as an early measure of bundle compliance. Results Hemorrhage risk assessment stratification rates improved to 90% during bundle implementation. Conclusion Keys to implementation included multidisciplinary stakeholder commitment, stepwise and iterative approach, and parallel systems for monitoring and evaluation Implementation of a PPH safety bundle is feasible in a resource-constrained setting.
机译：背景产后出血（PPH）是预防孕产妇发病率和死亡率的主要原因。对产科出血的标准化反应与母体结果的显着改善有关，但实施可能是挑战性的。目的是主要目标是描述城市安全网医院PPH对孕产妇健康安全束联盟的方案实施的方法。方法超过18个月的时间，朝向（1）风险评估和分层的干预措施，（2）出血识别和管理，（3）团队沟通和模拟，以及（4）汇报和案例审查得到了实施。随着捆绑遵守的早期衡量标准，跟踪出血风险评估分层分层率。结果出血风险评估分层率在捆绑实施期间提高到> 90％。结论实施的键包括多学科利益相关者承诺，逐步和迭代的方法，以及PPH安全束的监测和评估实施的并行系统在资源受限的环境中是可行的。

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