Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, PH 16-66, New York, NY 10032, United States.
Division of Maternal-Fetal Fetal Medicine, Department of Obstetrics and Gynecology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street, PH 16-66, New York, NY 10032, United States.
Semin Perinatol. 2019 Jun;43(4):189-193. doi: 10.1053/j.semperi.2019.03.002. Epub 2019 Mar 8.
In recent years, state obstetric quality and maternal safety initiatives have led efforts to reduce maternal risk and improve maternal safety. A priority of many of these collaboratives has been to disseminate and implement safety bundles focusing on leading causes of maternal mortality including venous thromboembolism. In 2013, the Safe Motherhood Initiative (SMI), a quality improvement effort led by ACOG District II in New York State, began developing a VTE bundle reviewed available clinical evidence, practice guidelines, and protocols and assessed how hospitals with varying resources could implement standardized approaches to obstetric thromboembolism prophylaxis. This bundle was subsequently released for implementation in New York State's hospitals with support from SMI. The purpose of this review is to characterize, from the perspective of a state safety leadership collaborative, the resources that were most critical in assisting individual hospitals in (i) determining which VTE prophylaxis strategies would be adopted, and (ii) operationalizing implementation.
近年来，国家产科质量和孕产妇安全倡议推动了减少孕产妇风险和提高孕产妇安全的努力。这些合作组织的一个优先事项是传播和实施安全措施，重点是导致孕产妇死亡的主要原因，包括静脉血栓栓塞症。2013 年，由纽约州 ACOG 第二区领导的母婴安全倡议（SMI）开始制定一个 VTE 捆绑包，审查了现有的临床证据、实践指南和协议，并评估了资源不同的医院如何实施标准化的产科血栓栓塞预防方法。该捆绑包随后在 SMI 的支持下在纽约州的医院中发布实施。本综述的目的是从州安全领导合作组织的角度，描述在协助各个医院方面最重要的资源：（i）确定将采用哪些 VTE 预防策略；（ii）实施运作。
