4: Reducing time to treatment for severe maternal hypertension through statewide quality improvement

King, Patricia Lee; Keenan-Devlin, Lauren; Gordon, Camille; Goel, Satyender; Borders, Ann

doi:10.1016/j.ajog.2017.10.415

Cited by 9 publications

(2 citation statements)

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“…The Illinois PQC reported a decrease in SMM in state population-level data by improving timely treatment of hypertension within 60 minutes from 41.5% to 78.9% over the course of the initiative. 67,68 The California Maternal Quality Care Collaborative’s severe hypertension toolkit was implemented in 23 academic and community institutions in California. Over a period of 18 months, compliance with treatment recommendations increased from 50% to >90%, the incidence of eclampsia declined by 42.6%, and the prevalence of SMM decreased by nearly 20%.…”

Section: Current Political Environment and Evidence-based Strategies ...mentioning

confidence: 99%

Call to Action: Maternal Health and Saving Mothers: A Policy Statement From the American Heart Association

Mehta¹,

Sharma²,

Creanga

et al. 2021

Circulation

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The United States has the highest maternal mortality rates among developed countries, and cardiovascular disease is the leading cause. Therefore, the American Heart Association has a unique role in advocating for efforts to improve maternal health and to enhance access to and delivery of care before, during, and after pregnancy. Several initiatives have shaped the time course of major milestones in advancing maternal and reproductive health equity in the United States. There have been significant strides in improving the timeliness of data reporting in maternal mortality surveillance and epidemiological programs in maternal and child health, yet more policy reforms are necessary. To make a sustainable and systemic impact on maternal health, further efforts are necessary at the societal, institutional, stakeholder, and regulatory levels to address the racial and ethnic disparities in maternal health, to effectively reduce inequities in care, and to mitigate maternal morbidity and mortality. In alignment with American Heart Association’s mission “to be a relentless force for longer, healthier lives,” this policy statement outlines the inequities that influence disparities in maternal outcomes and current policy approaches to improving maternal health and suggests additional potentially impactful actions to improve maternal outcomes and ultimately save mothers’ lives.

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Section: Current Political Environment and Evidence-based Strategies ...mentioning

confidence: 99%

Call to Action: Maternal Health and Saving Mothers: A Policy Statement From the American Heart Association

Mehta¹,

Sharma²,

Creanga

et al. 2021

Circulation

View full text Add to dashboard Cite

show abstract

“…The percentage of cases receiving preeclampsia education at discharge increased from 37% to 81%, scheduling follow-up appointments within 10 days of discharge increased from 53% to 75%, and debriefing after an event increased from 2% to 44%. 28 , 29 These results further support that statewide QI efforts—including collaborative learning, rapid response data, and QI support—can reduce hypertension-related maternal morbidity.…”

Section: Severe Hypertension Bundlesmentioning

confidence: 67%

Enhancing Obstetric Safety Through Best Practices

Eppes

Han

Haddock

et al. 2021

Journal of Women's Health

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The pregnancy-related mortality rate in the US exceeds that of other developed nations and is marked by significant disparities in outcome by race. This article reviews the evidence supporting the implementation of a variety of best practices designed to reduce maternal mortality. Evidence from maternal mortality review committees suggests that delays in diagnosis, delays in initiation of treatment and use of ineffective treatments contribute to preventable cases of maternal death. We review several protocols for maternal warning signs that have been used successfully to facilitate early identification and intervention. Care bundles, a collection of best practices, have been developed and implemented to address several maternal emergencies. We review the evidence that supports reduction in adverse outcomes with consistent implementation of obstetric hemorrhage and severe hypertension bundles in a collaborative, team-based setting. The article concludes with suggestions for the future.

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Preeclampsia: a report and recommendations of the workshop of the Society for Maternal-Fetal Medicine and the Preeclampsia Foundation

Louis¹,

Parchem²,

Vaught³

et al. 2022

American Journal of Obstetrics and Gynecology

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4: Reducing time to treatment for severe maternal hypertension through statewide quality improvement

Cited by 9 publications

References 0 publications

Call to Action: Maternal Health and Saving Mothers: A Policy Statement From the American Heart Association

Call to Action: Maternal Health and Saving Mothers: A Policy Statement From the American Heart Association

Enhancing Obstetric Safety Through Best Practices

Preeclampsia: a report and recommendations of the workshop of the Society for Maternal-Fetal Medicine and the Preeclampsia Foundation

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