Stefanie Modri, Mehar Sharma, Elizabeth Quigley, Raluca Anca, Brianna O'Hanlon, Elizabeth Pyle, Alicia Hussey, Rebecca Hamm, Mohika Nagpal, Kimberly K Trout
{"title":"Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project.","authors":"Stefanie Modri, Mehar Sharma, Elizabeth Quigley, Raluca Anca, Brianna O'Hanlon, Elizabeth Pyle, Alicia Hussey, Rebecca Hamm, Mohika Nagpal, Kimberly K Trout","doi":"10.1097/NCQ.0000000000000771","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Postpartum hemorrhage (PPH) is a leading cause of maternity mortality in the United States. The Code Crimson project aimed to enhance PPH management by implementing a standardized intervention bundle to mitigate morbidity and mortality associated with PPH.</p><p><strong>Local problem: </strong>At a large Philadelphia tertiary hospital, health disparities existed for severe maternal morbidity and mortality, and PPH was a significant factor.</p><p><strong>Methods: </strong>A quality improvement design, using Plan-Do-Study-Act cycles and interrupted time series analysis, was undertaken.</p><p><strong>Interventions: </strong>The Code Crimson project implemented a standardized bundle to manage PPH, including blood product administration and massive transfusion protocol activation.</p><p><strong>Results: </strong>After implementing the Code Crimson bundle, there was a significant decrease in blood product use ( P < .001), with minor reductions in packed red blood cell administration over 4 units and mean blood loss.</p><p><strong>Conclusions: </strong>The Code Crimson bundle effectively reduced blood product utilization for PPH treatment.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000771","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Postpartum hemorrhage (PPH) is a leading cause of maternity mortality in the United States. The Code Crimson project aimed to enhance PPH management by implementing a standardized intervention bundle to mitigate morbidity and mortality associated with PPH.
Local problem: At a large Philadelphia tertiary hospital, health disparities existed for severe maternal morbidity and mortality, and PPH was a significant factor.
Methods: A quality improvement design, using Plan-Do-Study-Act cycles and interrupted time series analysis, was undertaken.
Interventions: The Code Crimson project implemented a standardized bundle to manage PPH, including blood product administration and massive transfusion protocol activation.
Results: After implementing the Code Crimson bundle, there was a significant decrease in blood product use ( P < .001), with minor reductions in packed red blood cell administration over 4 units and mean blood loss.
Conclusions: The Code Crimson bundle effectively reduced blood product utilization for PPH treatment.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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