Craemer Katherine A, Sayah Lauren, Glass-Riveros Emilie, Bergo Cara J, Mels Autumn, Allen Roma, Stewart Diedra, Geller Stacie E
Center for Research on Women and Gender, College of Medicine University of Illinois Chicago Chicago Illinois USA.
Illinois Department of Public Health Office of Women's Health and Family Services Chicago Illinois USA.
AEM Educ Train. 2025 May 8;9(3):e70046. doi: 10.1002/aet2.70046. eCollection 2025 Jun.
In Illinois, an average of 88 pregnant and postpartum individuals died annually from 2018 to 2020. Of these, 66% had at least one emergency department (ED) visit. To improve maternal health outcomes, the Illinois Maternal Mortality Review Committees recommended ED education on obstetric care, mental health conditions, and substance use disorders (SUD).
From January 1, 2023, to June 30, 2024, the Maternal Health Emergency Department Toolkit (Toolkit) training was piloted in six diverse Illinois hospitals. The Toolkit's effectiveness was evaluated using electronic medical record (EMR) data to assess changes in practice within the ED.
A total of 281 (63%) ED providers and staff completed the training. From pre- to post-pilot, EMR documentation of pregnancy or postpartum status in female patients of reproductive age increased from 56.4% to 83.4%, and screening pregnant and postpartum patients for mental health or SUD rose from 52.2% to 69.6%.
The Toolkit is an evidence-based training of educational modules that led to positive changes in ED provider and staff's practice when caring for pregnant and postpartum patients. By fostering education, engagement, and collaboration, the Toolkit has the potential to play a key role in helping reduce maternal mortality and morbidity in Illinois. The Toolkit is now available statewide for all Illinois EDs.
在伊利诺伊州，2018年至2020年期间，平均每年有88名孕妇和产后女性死亡。其中，66%的人至少去过一次急诊科（ED）。为改善孕产妇健康结局，伊利诺伊州孕产妇死亡审查委员会建议对急诊科进行有关产科护理、心理健康状况和物质使用障碍（SUD）的教育。
从2023年1月1日至2024年6月30日，孕产妇健康急诊科工具包（工具包）培训在伊利诺伊州六家不同的医院进行了试点。使用电子病历（EMR）数据评估该工具包的有效性，以评估急诊科内的实践变化。
共有281名（63%）急诊科医护人员和工作人员完成了培训。从试点前到试点后，育龄女性患者妊娠或产后状态的电子病历记录从56.4%增加到83.4%，对孕妇和产后患者进行心理健康或物质使用障碍筛查的比例从52.2%上升到69.6%。
该工具包是一个基于证据的教育模块培训，在急诊科医护人员和工作人员护理孕妇和产后患者时，带来了实践上的积极变化。通过促进教育、参与和协作，该工具包有可能在帮助降低伊利诺伊州孕产妇死亡率和发病率方面发挥关键作用。该工具包现已在伊利诺伊州全州范围内提供给所有急诊科。
