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National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
Author(s) -
D'Alton Mary E.,
Friedman Alexander M.,
Smiley Richard M.,
Montgomery Douglas M.,
Paidas Michael J.,
D'Oria Robyn,
Frost Jennifer L.,
Hameed Afshan B.,
Karsnitz Deborah,
Levy Barbara S.,
Clark Steven L.
Publication year - 2016
Publication title -
journal of midwifery and women's health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.543
H-Index - 62
eISSN - 1542-2011
pISSN - 1526-9523
DOI - 10.1111/jmwh.12544
Subject(s) - medicine , multidisciplinary approach , observational study , general partnership , patient safety , venous thromboembolism , bundle , intensive care medicine , standardization , medical emergency , health care , thrombosis , surgery , business , social science , materials science , finance , sociology , political science , economics , law , composite material , economic growth , pathology
Obstetric venous thromboembolism is a leading cause of severe maternal morbidity and mortality. Maternal death from thromboembolism is amenable to prevention, and thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate. Observational data support the benefit of risk‐factor‐based prophylaxis in reducing obstetric thromboembolism. This bundle, developed by a multidisciplinary working group and published by the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care, supports routine thromboembolism risk assessment for obstetric patients, with appropriate use of pharmacologic and mechanical thromboprophylaxis. Safety bundles outline critical clinical practices that should be implemented in every maternity unit. The safety bundle is organized into 4 domains: Readiness, Recognition, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged.