Obstetric Hemorrhage Bundle resources

• OB Hemorrhage Toolkit:
  • Mobile OB Hemorrhage Toolkit
  • Mobile OB hemorrhage lecture
  • OB hemorrhage badge buddy
• Hemorrhage sampling forms:
  • AzHHA - AIM OB monthly sample of hemorrhage risk assessment documentation
  • AzHHA - AIM OB monthly sample of hemorrhage quantified blood loss documentation
• Alliance for Innovation on Maternal Health (AIM) Hemorrhage Bundle resources:
  • AIM Change Package
  • AIM Data Collection Plan
  • AIM Element Implementation Details
  • Indian Journal of Anaethesia article: Management of major obstetric haemorrhage
  • Anesthesia & Analgesia article: National and International Guidelines for Patient Blood Management in Obstetrics: A Qualitative Review
  • Anesthesia & Analgesia article: National Partnership for Maternal Safety: Consensus Bundle on Obstetric Hemorrhage
• Risk assessment resources:
  • American College of Obstetricians and Gynecologists (ACOG) risk assessment (prenatal and antepartum)
  • ACOG risk assessment (labor and intrapartum)
  • Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) risk assessment
  • California Maternal Quality Care Collaborative (CMQCC) risk assessment
  • National Library of Medicine article: Obstetric hemorrhage risk assessment tool predicts composite maternal morbidity
• Quantified blood loss resources:
  • AWHONN quantification of blood loss (video)
  • CMQCC sample paper calculator for quantifying blood loss
  • CMQCC sample QBL worksheet
  • CMQCC techniques for quantitative assessment of blood loss
  • National Library of Medicine article: Quantification of Blood Loss: AWHONN Practice Brief Number 13
• Stage based care resources:
  • ACOG obstetric hemorrhage checklist
  • CMQCC hemorrhage care guidelines: Checklist format
  • CMQCC hemorrhage care guidelines: Table format
  • CMQCC hemorrhage care guidelines: Flowchart format
• Hemorrhage cart resources:
  • ACOG recommended instrument checklist
  • CMQCC checklist: Carts, kits and trays
• Medication resources:
  • CMQCC medications for postpartum hemorrhage
  • Nursing for Women’s Health article: The Role of Perinatal Nurses in the Use of Tranexamic Acid During Postpartum Hemorrhage
  • Journal of Obstetric, Gynecologic & Neonatal Nursing article: Guidelines for Active Management of the Third Stage of Labor using Oxytocin: AWHONN Practice Brief Number 12
• Massive Transfusion Protocol resources:
  • ACOG Massive Transfusion Protocol
  • CMQCC sample massive transfusion policy
  • CMQCC sample massive transfusion procedure
  • Canadian Blood Services article – Massive hemorrhage and emergency transfusion
• Patients who decline blood products:
  • ACOG patients who decline blood products guidance
  • CMQCC checklist for patients who may decline the use of blood products
  • ACOG article: Practice bulletin: Anemia in Pregnancy
  • ACOG article: Committee opinion: Refusal of Medically Recommended Treatment During Pregnancy
• Patient education material:
  • AIM urgent maternal warning signs
  • AWHONN post-birth warning signs
  • CDC urgent maternal warning signs
• Debrief resources:
  • ACOG team review and debriefing form: Postpartum hemorrhage
  • ACOG obstetric team debriefing form
  • CMQCC sample hemorrhage rapid debrief form
• Equity resources:
  • AWHONN SBAR for inclusive and equitable patient care
  • AWHONN Respectful Maternity Care Toolkit
  • Centers for Medicare and Medicaid Services (CMS) racial, ethnic and gender disparities in healthcare in Medicare Advantage
  • March of Dimes implicit bias training
  • Relias research brief: How mental health and social determinants are driving maternal mortality
  • The opportunity agenda (TOA) talking about birthing justice
  • Raising the Bar for maternal health equity and excellence
  • Raising the Bar health equity provider checklist
  • Raising the Bar health equity employer checklist
  • Ted Talk: How to overcome our biases? Walk boldly toward them (video)
  • Harvard implicit bias assessment
  • AIM Podcast: Weaving the safety net: The intersection of quality and equity in care
  • BIRTHING JUSTICE - Clinician (video)

DISCLAIMER: ALL INFORMATION PROVIDED THROUGH THIS PROGRAM IS FOR INFORMATIONAL PURPOSES ONLY. THROUGH THIS PROGRAM, AzHHA INTENDS ONLY TO PROVIDE RESOURCES THAT HOSPITALS MAY USE IN MAKING THEIR OWN DECISIONS ABOUT HOW TO SUPPORT PATIENT CARE. NO MATERIALS, ADVICE, DISCUSSION, COACHING OR OTHER INFORMATION PROVIDED BY AzHHA THROUGH THIS PROGRAM CREATES A STANDARD OF CARE OR TREATMENT. NOTHING PROVIDED BY AzHHA THROUGH THIS PROGRAM IS INTENDED TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS OR TREATMENT.