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REACT: An Interprofessional Education and Safety Program to Recognize and Manage the Compromised Obstetric Patient
Suzanne McMurtry Baird1, Cornelia R Graves
1Clinical Concepts in Obstetrics, Inc, Brentwood, Tennessee (Dr Baird); Vanderbilt University School of Nursing, Nashville, Tennessee (Dr Baird); Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, Nashville, Tennessee (Dr Graves); St Thomas Midtown Hospital, Nashville (Dr Graves); and Vanderbilt University, Nashville, Tennessee (Dr Graves).
Maternal deaths are rising in the US. The REACT initiative offers an interprofessional education program to help healthcare providers recognize and manage maternal compromise, aiming to reduce mortality.
Area of Science:
- Obstetrics and Gynecology
- Maternal Health
- Healthcare Quality Improvement
Background:
- Increasing rates of pregnancies complicated by pre-existing medical conditions in the US.
- Rising maternal morbidity and mortality rates present a significant public health concern.
- Need for standardized protocols to manage maternal compromise during pregnancy, childbirth, and postpartum.
Purpose of the Study:
- To introduce the REACT (Recognize, Educate, Activate, Communicate, Treat) quality and safety initiative.
- To reduce maternal morbidity and mortality through enhanced interprofessional education.
- To equip healthcare providers with skills for early recognition and management of maternal compromise.
Main Methods:
- Development of an interprofessional education program focused on maternal compromise.
- Standardized curriculum based on early signs and symptoms of maternal compromise.
- Alignment with recommendations from major obstetrical and gynecological professional organizations.
Main Results:
- The REACT program provides a structured approach to managing maternal compromise.
- Early identification and intervention are key components of the REACT protocol.
- The program's guidelines are consistent with current national recommendations.
Conclusions:
- The REACT initiative offers a framework to combat rising maternal morbidity and mortality.
- Effective interprofessional education is crucial for improving maternal safety.
- Implementing REACT can lead to better recognition and management of compromised pregnancies.
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Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

