深红代码:产后出血捆绑干预质量改进项目。

IF 1.2 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI:10.1097/NCQ.0000000000000771
Stefanie Modri, Mehar Sharma, Elizabeth Quigley, Raluca Anca, Brianna O'Hanlon, Elizabeth Pyle, Alicia Hussey, Rebecca Hamm, Mohika Nagpal, Kimberly K Trout
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引用次数: 0

摘要

背景:产后出血(PPH)是美国产妇死亡的主要原因。当地问题:在费城一家大型三级医院,严重产妇发病率和死亡率存在健康差异,而 PPH 是一个重要因素:方法:采用 "计划-实施-研究-行动 "周期和间断时间序列分析进行质量改进设计:干预措施:"Code Crimson "项目实施了一个标准化的PPH管理包,包括血液制品管理和启动大量输血方案:结果:实施Code Crimson捆绑计划后,血液制品的使用量显著减少(P 结论:Code Crimson捆绑计划有效地减少了血液制品的使用量:深红代码捆绑疗法有效减少了治疗 PPH 的血液制品使用量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project.

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.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
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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