Postpartum hemorrhage prevention and management in women in an inpatient postpartum unit: a best practice implementation project.
| Autor: | Fatherree DL; School of Nursing, University of Mississippi Medical Center, Jackson, MI, USA.; Mississippi Centre for Evidence-Based Practice: A JBI Centre of Excellence, Jackson, MI, USA., Palokas M; School of Nursing, University of Mississippi Medical Center, Jackson, MI, USA.; Mississippi Centre for Evidence-Based Practice: A JBI Centre of Excellence, Jackson, MI, USA. |
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| Jazyk: | angličtina |
| Zdroj: | JBI evidence implementation [JBI Evid Implement] 2024 May 01; Vol. 22 (2), pp. 140-148. Date of Electronic Publication: 2024 May 01. |
| DOI: | 10.1097/XEB.0000000000000395 |
| Abstrakt: | Introduction and Objectives: Ninety percent of maternal deaths are attributed to postpartum hemorrhage, with 50% being preventable. Annually, University of Mississippi Medical Center staff have more than 20,000 obstetrical encounters and deliver thousands of infants, with ∼75% being high-risk. The mother/baby unit, 3 Wiser, experienced two postpartum hemorrhages in August 2022. Post-event debriefings revealed opportunities for improvement. This project aimed to promote evidence-based practices regarding the prevention and management of postpartum hemorrhage in 3 Wiser. Methods: The project was guided by the JBI Model of Evidence-Based Healthcare and used the JBI Practical Application of Clinical Evidence System together with the Getting Research into Practice audit and feedback strategy. Four evidence-based practices were selected as audit criteria. After baseline audits were conducted, strategies to improve compliance with evidence-based practices were implemented. Finally, a follow-up audit was conducted, and the results of both audits were compared. Results: The baseline audits revealed 84% average compliance with the four evidence-based practices. Strategies to improve compliance included a simulation for nursing staff with a review of postpartum hemorrhage policies and skills. The post-implementation audit revealed 98% average compliance with the four evidence-based practices, a 14% increase from the baseline audit. Conclusions: This evidence implementation project utilized a clinical audit process, which led to improvements in practice related to the prevention and management of postpartum hemorrhage in the inpatient postpartum unit. (Copyright © 2023 JBI. Unauthorized reproduction of this article is prohibited.) |
| Databáze: | MEDLINE |
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