Multimedia MCH Resources Bibliography

Annotation: This fact sheet from the Illinois Perinatal Quality Collaborative (ILPQC) promotes scheduling early maternal health safety checks within two weeks postpartum to improve care for new mothers. It presents data showing that 80% of pregnancy-associated deaths in Illinois between 2014-2016 occurred in the year following birth, with 24% occurring within 42 days postpartum before the traditional six-week visit. The fact sheet outlines key elements of these early postpartum safety checks, describes the aim and strategies of the ILPQC Improving Postpartum Access to Care (IPAC) Initiative launched in May 2019, and shares early successes from participating hospitals.

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Keywords: Illinois, Perinatal care: Postpartum care: Safety, Quality improvement, Standards, State initiatives

Annotation: This guide is designed to help outpatient clinical settings, clinicians, and care team members improve the care provided to pregnant women and women of reproductive age dealing with hypertension in pregnancy, a condition that disproportionately affects Non-Hispanic Black and American Indian/Alaska Native women. Developed by Million Hearts®, the document presents evidence-informed process improvements focusing on early identification, optimal management, and prevention of complications. The HPCP is structured into four primary focus areas: Key Foundations, which involves establishing hypertension management as a system priority and prioritizing respectful, culturally sensitive care; Equipping Care Teams, which addresses training on accurate blood pressure measurement, proper medication provision, and timely escalation of care for severe hypertension; Population Health Management, which includes identifying women with potentially undiagnosed hypertension and using registries for tracking patients; and Individual Patient Supports, which focuses on patient education, addressing social determinants of health (SDOH), and reinforcing self-management, such as through Self-Measured Blood Pressure (SMBP) monitoring. The package provides comprehensive tools and resources developed by numerous organizations, including the American College of Obstetricians and Gynecologists (ACOG) and the California Maternal Quality Care Collaborative (CMQCC)

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Keywords: Health care systems, Hypertension, Postpartum care, Preeclampsia, Prenatal care, Quality improvement

Annotation: The workbook outlines evidence-based practices for improving recognition of and response to obstetric hemorrhage, including hemorrhage risk assessments categorized as low, medium, and high risk that should be completed on admission, during labor, and post-delivery. It emphasizes the critical importance of quantification of blood loss using volumetric containers, weighing scales, or computerized image recognition rather than estimation, as postpartum hemorrhage occurs in about 40% of low-risk birthing people. The workbook presents the Alliance for Innovation on Maternal Health Patient Safety Bundle components, which include stage-based management plans, hemorrhage supply carts, immediate access to hemorrhage medications, standardized education for obstetric teams, multidisciplinary drills, and case review processes. It addresses Missouri-specific data showing obstetric hemorrhage as the fourth leading cause of pregnancy-related deaths from 2018-2020, with significant racial disparities in transfusion rates, and notes that between 54% to 90% of hemorrhage-related deaths are preventable. The workbook includes extensive resources for implementation including assessment tools, quantification worksheets, stage-based guidelines, simulation training materials, and patient debriefing forms, and provides trauma-informed guidance for supporting patients and families after hemorrhage events.

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Keywords: Emergency medical services, Hemorrhage, Missouri, Obstetric care, Obstetric complications, Postpartum hemorrhage, Quality improvement, State MCH Programs

Annotation: This web page from the Agency for Healthcare Research and Quality (AHRQ) provides clinical case scenarios and training materials for the AHRQ Safety Program for Perinatal Care, Phase 2. The scenarios illustrate 10 teamwork tools and strategies for improving care in obstetric hemorrhage and severe hypertension in pregnancy. The page includes two sets of education materials: (1) Tier 1 consists of eight short video-based emodules for each condition that introduce frontline clinicians to the teamwork tools and demonstrate their use; (2) Tier 2 provides PowerPoint slide sets with speaker notes to help Alliance for Innovation on Maternal Health (AIM) Team Leads disseminate the teamwork toolkit to frontline staff in their labor and delivery units, ideally through live workshops by a TeamSTEPPS master trainer.

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Keywords: Emergency medical services, Hemorrhage, Hypertension, Patient safety, Perinatal care, Postpartum care, Pregnancy complcations, Professional training

Annotation: This patient safety bundle was revised in 2023 to incorporate respectful care concepts, revise existing elements, include new elements related to evidence-informed practices, and update data collection plans. The bundle provides actionable steps to support labor and care processes that can be adapted to a variety of facilities and resource levels to improve quality of care and safely reduce cesarean births. Implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules are included on the website. Some materials are available in English, Spanish, and French.

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• Printable Patient Safety Bundle

Keywords: Cesarean section, Childbirth, Data collection, Measures, Obstetrical care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety, Vaginal birth

Annotation: This patient safety bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients with cardiac conditions (disorders of the cardiovascular system). It provides guidance for health care teams to develop coordinated, multidisciplinary care for pregnant and postpartum patients with cardiovascular conditions and to respond to cardio-obstetric emeregencies. The bundle is organized into five domains: 1) Readiness , 2) Recognition and Prevention , 3) Response , 4) Reporting and Systems Learning , and 5) Respectful Care . Components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Cardiovascular diseases, Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Obstetrical complications, Perinatal care, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: This patient safety bundle provides actionable steps that can be adapted to a variety of health care facilities and resource levels to improve quality of care and outcomes for pregnant and postpartum patients with substance use conditions. The bundle was revised in 2021 to incorporate respectful care concepts, revise existing elements, include new elements related to evidence-informed practices, and update the data collection tools. Components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Perinatal care, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: The Obstetric Hemorrhage Patient Safety Bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients experiencing an obstetric hemorrhage. Included are evidence-based protocols on risk assessment, quantitative blood loss measurement, standardized emergency management plans, hemorrhage carts with necessary supplies, and multidisciplinary team drills. The bundle was revised in 2022 to incorporate respectful care considerations, revise existing elements, related to evidence-informed practices, and update data collection plans. It emphasizes the importance of addressing racial and ethnic disparities in obstetric hemorrhage outcomes through policy review and disaggregated data monitoring. Components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Obstetrical complications, Postpartum care, Postpartum hemorrhage, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: This patient safety bundle provides actionable steps that can be adapted to a variety of health care facilities and resource levels to improve the quality of care and outcomes for patients with perinatal mental health conditions. It provides broad direction for incorporating perinatal mood and anxiety disorder screening, intervention, referral, and follow-up into maternity care practice across health care settings. Components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Mental health, Perinatal care, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: The "Sepsis in Obstetric Care" patient safety bundle provides guidance for health care teams to develop coordinated, multidisciplinary care for pregnant and postpartum people by preventing infection and recognizing and treating infection early to prevent progression to sepsis. Included are actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients experiencing sepsis. The bundle is organized into five domains: Readiness, Recognition and Prevention, Response, Reporting and Systems Learning, and Respectful, Equitable, and Supportive Care. Individual components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Mental health, Obstetrical complications, Perinatal care, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety

Annotation: This patient safety bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients experiencing hypertensive disorders of pregnancy. The bundle was revised in 2022 to incorporate respectful care concepts, revise existing elements, include new elements related to evidence-informed practices, and update data collections plans. Components include implementation details and resources, a data collection plan, an evidence-informed "change package, " and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Hypertension, Maternal morbidity, Maternal mortality, Measures, Obstetrical complications, Perinatal care, Postpartum care, Prevention, Prevention, Protocols, Quality improvement, Resources for professionals, Safety, Screening

Annotation: In this webinar, subject matter experts present on 1) the Alliance for Innovation on Maternal Health’s (AIM) patient safety bundle for perinatal people with substance use disorders, and 2) the role of public health agencies, perinatal quality collaboratives, and community organizations in supporting the implementation of the AIM bundle in their state. Speakers include representatives from the American College of Obstetricians and Gynecologists (ACOG), the Louisiana Department of Health, and the Florida Department of Health.

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Keywords: Guidelines, Perinatal care, Postpartum women, Pregnant women, Preventive health services, Public health , Quality assurance, Safety, State initiatives, Substance abusing pregnant women, Substance use disorders

Annotation: The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients with substance use conditions. It includes: Implementation tools and resources, a data collection plan (with outcome measures), a change package, and learning modules.

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Keywords: Guidelines, Postpartum care, Prenatal care, Substance use disorders, Therapeutics

Annotation: The Postpartum Discharge Patient Safety Bundle was revised in 2021 to incorporate respectful concepts and data collection tools. The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes during a critical period in which patients are at risk for maternal morbidity and mortality. It emphasizes the importance of establishing systems for scheduling timely postpartum visits, screening for risk factors, providing standardized discharge education about warning signs including mental health concerns, and ensuring patients receive a comprehensive discharge summary. It also highlights the importance of coordinated clinical pathways between inpatient and outpatient settings, trauma-informed care, and addressing biases that affect quality of care. Bundle components include implementation details and resources, a data collection plan, an evidence-informed "change package," and learning modules.

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Keywords: Data collection, Evidence-based medicine, Health care quality indicators, Health metrics, Maternal morbidity, Maternal mortality, Measures, Postpartum care, Prevention, Protocols, Quality improvement, Resources for professionals, Safety, Standards

Annotation: This patient safety tip sheet explains how every woman, every provider, and every clinical setting can help ensure optimal health outcomes for mother and baby. It outlines a patient-centered model of care that helps prepare women for pregnancy, birth, and the postpartum period; ensures that preventive measures and safety protocols are practiced; and measures and assesses outcomes so that successful strategies and opportunities for improvement can be identified and implemented.

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Keywords: Collaboration, Maternal health, Perinatal care, Postpartum care, Prevention, Quality assurance, Safety

Annotation: These patient safety bundles are the core building blocks of the AIM program’s efforts to address the leading known causes of preventable severe maternal morbidity and mortality in the United States. Supported by quality metrics and measures through the AIM Data Center, each bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients. Individual safety bundles cover the following: obstetric hemorrhage, severe hypertension in pregnancy, safe reduction of primary cesarean birth, cardiac conditions in obstetric care, care for pregnant and postpartum people with substance use disorder, perinatal mental health conditions, postpartum discharge transition, and sepsis in obstetric care. Some materials are available in English, Spanish, and French.

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Keywords: Evidence based medicine, Health care quality indicators, Health metrics, Maternal health, Maternal morbidity, Maternal mortality, Measures, Perinatal care, Postpartum care, Protocols, Quality improvement, Resources for professionals , Safety, prevention programs