Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project.
J Nurs Care Qual
; 39(3): 286-292, 2024.
Article
in En
| MEDLINE
| ID: mdl-38747711
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. LOCALPROBLEM:
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality Improvement
/
Postpartum Hemorrhage
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
America do norte
Language:
En
Journal:
J Nurs Care Qual
Year:
2024
Document type:
Article