Supported by a grant from Merck for Mothers, AWHONN's PPH Project will start as a demonstration project among hospitals in the District of Columbia, Georgia and New Jersey. The long term goals of the project are to improve clinicians' recognition of, readiness for, and response to obstetric hemorrhage. These multi-hospital, multi-state learning collaboratives will actively reduce clinician errors and assist in adopting clinical practice changes. These clinical practice changes include:
1) Standardizing quantification of blood loss after
every birth instead of visual estimation of blood loss
2) Performing PPH risk assessments on admission, pre-delivery, and post-delivery
3) Creating and/or updating policies and procedures for general and massive transfusions
4) Having obstetric hemorrhage teams participate in PPH simulation drills
5) Conducting debriefs after postpartum hemorrhage events
These geographic areas were chosen because they have high rates of maternal mortality related to postpartum hemorrhage, several hospitals within their respective states, racial diversity, no reported competing obstetric hemorrhage-related quality improvement initiatives, and strong AWHONN leaders. AWHONN thanks its identified leaders in the target areas: Robyn D'Oria APN, RNC, MA, (NJ), Catherine Ruhl MS, CNM (DC), and Lashea Wattie M.ED , RNC, C-EFM, BSN, (GA).
The PPH Project has two distinct phases:
Hospitals in the District of Columbia, Georgia and New Jersey will be invited to participate in a baseline survey that will assess their level of obstetric hemorrhage preparedness. The online survey should take approximately 20 minutes to complete.
Upon completion of the survey, 40 to 60 hospitals will be selected for the learning collaborative (20 to 30 hospitals from DC and NJ, and 20 to 30 hospitals from GA) by way of a competitive application process. Participating hospitals will be required to submit data on a monthly basis and discuss the data on collaborative monthly calls. AWHONN will make the data available for participating hospitals to view and print for internal team discussions and quality improvement purposes.
There is no fee to participate in either phase of the
project. However, hospitals that are accepted into the multi-hospital
learning collaborative will need to travel to a one-day "kick-off" and "wrap-up"
meeting, which may require travel and/or hotel expenses, as well as dedicated
time for collecting data and participating in monthly conference calls.
No. Hospitals can participate in the baseline assessment
and not participate in the learning collaborative. However, in order to apply to
the learning collaborative, the hospital must complete the baseline
Unfortunately, space in the learning collaborative is limited, and we cannot guarantee a spot for every hospital that completes the baseline survey.
At this time, only hospitals in the District of Columbia, Georgia, and New Jersey can complete the baseline survey. At some point in the future, we will evaluate whether we will open the baseline survey up to other geographic areas.
A key nurse informant should be able to complete the online baseline assessment survey in approximately 20 minutes. AWHONN will provide a PDF copy of the assessment so participants can discuss the questions with hospital colleagues, but the actual assessment must be completed online.
AWHONN will use the baseline assessment data to help guide the structure of the quality improvement project in the District of Columbia, Georgia and New Jersey. The data will be kept confidential and will only be discussed in a summary fashion. AWHONN may choose to publish the results of the survey but will not identify any hospital that participated in the survey.
AWHONN will keep the baseline assessment data password
protected, and only key AWHONN PPH Project personnel will be given access to the
Timeframe: Beginning in the summer of 2014 and ending in the winter of 2015.
AWHONN provided a copy of the baseline assessment to an IRB. Because AWHONN is not collecting human subject data in the baseline survey, the IRB recommended not submitting the assessment for IRB review, per the Department of Health and Human Services recommendations.
Improve PPH care through quality improvement methods and collaboration
Learn more about our geographic areas of focus
View the list of participating hospitals & meetings
Access more information on best practices for postpartum hemorrhage
Review this snapshot of AWHONN and the organization’s scope of work
Explore PPH coverage in the media
Join AWHONN’s effort and make a difference
Know the facts about maternal death and injury
© 2017 AWHONN All rights reserved