Matches in SemOpenAlex for { <https://semopenalex.org/work/W3019660571> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W3019660571 endingPage "135S" @default.
- W3019660571 startingPage "134S" @default.
- W3019660571 abstract "INTRODUCTION: We describe a systematic approach to mitigating obstetric hemorrhage risk at University Hospitals (UH), a northeast Ohio-based system of eighteen hospitals, including seven hospitals providing obstetric services and delivering approximately 8000 women/year. METHODS: From 2009-2015, obstetric hemorrhage (OBH) led to two maternal deaths and other harms in the form of excessive transfusions, ICU admissions, and hysterectomies as definitive treatment. OBH accounted for 11% of litigation costs ($7.4 M) during this period. To reduce harm associated with OBH, we implemented the following interventions: 1. Clinical Practice Guideline for management of anemia in pregnancy; 2. EMR field to capture hemorrhage risk factors and prompt type and cross on admission; 3. Mandating transfer of high risk patients for delivery at a tertiary care center; 4. Clinical Practice Guideline for management of OBH (including active management of third stage of labor); 5. Shifting from estimating to quantifying blood loss by weight; and 6. Standardization of OBH carts on all L&D units. RESULTS: From 2015-2017, there was: 40% increase in the number of patients admitted to L&D with hemoglobin >10 mg/dl; 68% decrease in the number of obstetric patients requiring transfusions of ≥four units of packed red blood cells; 77% decrease in the number of peri-partum hysterectomies; and 91% decrease in the number of patients admitted to ICU for OBH. There were no maternal deaths from OBH and no new suits or claims related to OBH between 2014 and 2018. CONCLUSION: This multifaceted intervention was associated with decreased patient harm and reduced litigation costs associated with obstetric hemorrhage." @default.
- W3019660571 created "2020-05-01" @default.
- W3019660571 creator A5006863358 @default.
- W3019660571 creator A5018149660 @default.
- W3019660571 creator A5018159288 @default.
- W3019660571 creator A5078444357 @default.
- W3019660571 creator A5089360493 @default.
- W3019660571 creator A5091296451 @default.
- W3019660571 date "2020-05-01" @default.
- W3019660571 modified "2023-09-27" @default.
- W3019660571 title "A Multi-Faceted Intervention to Reduce Obstetric Hemorrhage Risk at University Hospitals [01M]" @default.
- W3019660571 doi "https://doi.org/10.1097/01.aog.0000664712.65019.6c" @default.
- W3019660571 hasPublicationYear "2020" @default.
- W3019660571 type Work @default.
- W3019660571 sameAs 3019660571 @default.
- W3019660571 citedByCount "0" @default.
- W3019660571 crossrefType "journal-article" @default.
- W3019660571 hasAuthorship W3019660571A5006863358 @default.
- W3019660571 hasAuthorship W3019660571A5018149660 @default.
- W3019660571 hasAuthorship W3019660571A5018159288 @default.
- W3019660571 hasAuthorship W3019660571A5078444357 @default.
- W3019660571 hasAuthorship W3019660571A5089360493 @default.
- W3019660571 hasAuthorship W3019660571A5091296451 @default.
- W3019660571 hasConcept C131872663 @default.
- W3019660571 hasConcept C141071460 @default.
- W3019660571 hasConcept C142724271 @default.
- W3019660571 hasConcept C159110408 @default.
- W3019660571 hasConcept C194828623 @default.
- W3019660571 hasConcept C27415008 @default.
- W3019660571 hasConcept C2779637338 @default.
- W3019660571 hasConcept C2779974597 @default.
- W3019660571 hasConcept C2780014101 @default.
- W3019660571 hasConcept C2780182762 @default.
- W3019660571 hasConcept C2991743468 @default.
- W3019660571 hasConcept C2994072243 @default.
- W3019660571 hasConcept C71924100 @default.
- W3019660571 hasConceptScore W3019660571C131872663 @default.
- W3019660571 hasConceptScore W3019660571C141071460 @default.
- W3019660571 hasConceptScore W3019660571C142724271 @default.
- W3019660571 hasConceptScore W3019660571C159110408 @default.
- W3019660571 hasConceptScore W3019660571C194828623 @default.
- W3019660571 hasConceptScore W3019660571C27415008 @default.
- W3019660571 hasConceptScore W3019660571C2779637338 @default.
- W3019660571 hasConceptScore W3019660571C2779974597 @default.
- W3019660571 hasConceptScore W3019660571C2780014101 @default.
- W3019660571 hasConceptScore W3019660571C2780182762 @default.
- W3019660571 hasConceptScore W3019660571C2991743468 @default.
- W3019660571 hasConceptScore W3019660571C2994072243 @default.
- W3019660571 hasConceptScore W3019660571C71924100 @default.
- W3019660571 hasIssue "1" @default.
- W3019660571 hasLocation W30196605711 @default.
- W3019660571 hasOpenAccess W3019660571 @default.
- W3019660571 hasPrimaryLocation W30196605711 @default.
- W3019660571 hasRelatedWork W1999291976 @default.
- W3019660571 hasRelatedWork W2317612395 @default.
- W3019660571 hasRelatedWork W2328659429 @default.
- W3019660571 hasRelatedWork W2332193474 @default.
- W3019660571 hasRelatedWork W2800022962 @default.
- W3019660571 hasRelatedWork W2883682937 @default.
- W3019660571 hasRelatedWork W3009399736 @default.
- W3019660571 hasRelatedWork W32259927 @default.
- W3019660571 hasRelatedWork W4226535647 @default.
- W3019660571 hasRelatedWork W4233116497 @default.
- W3019660571 hasVolume "135" @default.
- W3019660571 isParatext "false" @default.
- W3019660571 isRetracted "false" @default.
- W3019660571 magId "3019660571" @default.
- W3019660571 workType "article" @default.