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Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock

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Published on: November 3, 2023

Maternal Hemorrhage Quality Improvement Collaborative Lessons.

Audrey Lyndon¹, Valerie Cape

¹Audrey Lyndon is an Associate Professor, Department of Family Health Care Nursing, University of California, San Francisco, San Francisco, CA; and Hemorrhage Taskforce Co-Chair & Executive Committee Member, California Maternal Quality Care Collaborative, Stanford, CA. The author can be reached via e-mail at Audrey.lyndon@ucsf.edu Valerie Cape is a Project Manager, California Maternal Quality Care Collaborative, Stanford, CA.

MCN. the American Journal of Maternal Child Nursing

|July 26, 2016

Summary

This summary is machine-generated.

This study evaluated an obstetric hemorrhage toolkit across 31 hospitals. Organizational context, nursing involvement, and physician buy-in significantly impacted implementation success and sustainability.

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Area of Science:

Maternal Health Quality Improvement
Implementation Science in Healthcare
Obstetric Patient Safety

Background:

Obstetric hemorrhage remains a leading cause of maternal morbidity and mortality.
Quality improvement collaboratives aim to enhance patient safety and care processes.
Standardized toolkits can support the implementation of evidence-based practices.

Purpose of the Study:

To describe user experience with an obstetric hemorrhage toolkit.
To determine the implementation level of recommended practices in a 31-hospital collaborative.
To identify factors influencing toolkit implementation and sustainability.

Main Methods:

Descriptive qualitative study design.
Semistructured interviews with 22 implementation team leaders.
Thematic analysis of interview transcripts and collaborative call recordings.

Main Results:

At least 77% of interviewees reported "implemented" or "implemented and sustained" for core toolkit components.
Debriefing was identified as the most challenging component to implement and sustain.
Organizational context (structure, culture, resources, clinician engagement) was a key theme.

Conclusions:

Widespread maternal care improvements require attention to organizational context, resources, nursing involvement, and leadership.
Implementation science offers valuable approaches for achieving national maternal quality and safety goals.