1
|
Bauer ME, Albright C, Prabhu M, Heine RP, Lennox C, Allen C, Burke C, Chavez A, Hughes BL, Kendig S, Le Boeuf M, Main E, Messerall T, Pacheco LD, Riley L, Solnick R, Youmans A, Gibbs R. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol 2023; 142:481-492. [PMID: 37590980 PMCID: PMC10424822 DOI: 10.1097/aog.0000000000005304] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Revised: 05/25/2023] [Accepted: 06/01/2023] [Indexed: 08/19/2023]
Abstract
Sepsis in obstetric care is one of the leading causes of maternal death in the United States, with Black, Asian/Pacific Islander, and American Indian/Alaska Native obstetric patients experiencing sepsis at disproportionately higher rates. State maternal mortality review committees have determined that deaths are preventable much of the time and are caused by delays in recognition, treatment, and escalation of care. 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. This is one of several core patient safety bundles developed by AIM (the Alliance for Innovation on Maternal Health) to provide condition- or event-specific clinical practices that should be implemented in all appropriate care settings. As with other bundles developed by AIM, the "Sepsis in Obstetric Care" patient safety bundle is organized into five domains: Readiness, Recognition and Prevention, Response, Reporting and Systems Learning, and Respectful, Equitable, and Supportive Care. The Respectful, Equitable, and Supportive Care domain provides essential best practices to support respectful, equitable, and supportive care to all patients. Further health equity considerations are integrated into the elements of each domain.
Collapse
Affiliation(s)
- Melissa E Bauer
- Department of Anesthesiology and the Department of Obstetrics and Gynecology, Duke University, Durham, and the Department of Obstetrics and Gynecology, Wake Forest Baptist Health, Winston-Salem, North Carolina; the Division of Maternal-Fetal Medicine, University of Washington Medical Center, Seattle, Washington; the Division of Maternal-Fetal Medicine, Massachusetts General Hospital, Boston, Massachusetts; the American College of Obstetricians and Gynecologists and the Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC; END SEPSIS, the Department of Emergency Medicine and the Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, and the Department of Obstetrics & Gynecology and the Department of Anesthesiology, Weill Cornell Medicine, New York, New York; Health Policy Advantage LLC, Ballwin, Missouri; Sepsis Alliance, San Diego, and the California Maternal Quality Care Collaborative and the Department of Obstetrics and Gynecology, Stanford University, Stanford, California; Evidence-Based Practice, David. P. Blom Administrative Campus, OhioHealth, Columbus, Ohio; the Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; and the University of Michigan School of Nursing, Ann Arbor, Michigan
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|