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Resource use decrease after implementation of care bundles for treatment of postpartum hemorrhage.

María Fernanda Escobar1,2, Paola Valencia1, Lina María Jaimes3

  • 1Department of Obstetrics and Gynecology, High Complexity Obstetric Unit, Fundación Valle del Lili, Cali, Colombia.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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PubMed
Summary
This summary is machine-generated.

Implementing postpartum hemorrhage (PPH) care bundles significantly reduced resource utilization and costs. This study shows fewer medications, diagnostic procedures, and consultations were needed after bundle implementation.

Keywords:
Postpartum hemorrhagecare bundlesdeveloping countrieshealthresource use

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Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Management
  • Health Economics

Background:

  • Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality worldwide.
  • Effective management strategies are crucial to reduce associated healthcare costs and improve patient outcomes.
  • Care bundles represent a coordinated approach to patient care, aiming to standardize and optimize treatment protocols.

Purpose of the Study:

  • To assess the impact of implementing care bundles on resource utilization in patients with postpartum hemorrhage (PPH).
  • To determine if standardized PPH care bundles influence healthcare resource consumption and associated costs.

Main Methods:

  • A retrospective, cross-sectional, observational study was conducted involving 404 patients with stage II or greater PPH.
  • Data were collected from billing reports for two periods: 2011-2014 (before care bundles) and 2015-2017 (after care bundles).
  • Resource utilization was computed by analyzing all services provided for PPH treatment.

Main Results:

  • The total billed amount per PPH episode decreased by 18.66% after the introduction of care bundles.
  • Significant reductions were observed in medication charges (56.3%), diagnostic procedure charges (47.6%), and consultation charges (37.7%).
  • The majority of PPH cases demonstrated lower resource use following the implementation of care bundles.

Conclusions:

  • The adoption of PPH care bundles is associated with a notable decrease in resource utilization.
  • Care bundles may lead to more efficient healthcare delivery and reduced costs in managing postpartum hemorrhage.
  • Standardized care bundles show potential for optimizing interventions and resource allocation in PPH management.