Standardized Severe Maternal Morbidity Review

Kilpatrick, Sarah J.; Berg, Cynthia; Bernstein, Peter; Bingham, Debra; Delgado, Ana; Callaghan, William M.; Harris, Karen; Lanni, Susan; Mahoney, Jeanne; Main, Elliot; Nacht, Amy; Schellpfeffer, Michael; Westover, Thomas; Harper, Margaret

doi:10.1097/AOG.0000000000000397

i

Standardized Severe Maternal Morbidity Review

Supporting Files

Aug 2014
By Kilpatrick, Sarah J. ; Berg, Cynthia ; Bernstein, Peter ; ...

File Language:

English

Details

Alternative Title:

Obstet Gynecol
Personal Author:

Kilpatrick, Sarah J. ; Berg, Cynthia ; Bernstein, Peter ; Bingham, Debra ; Delgado, Ana ; Callaghan, William M. ; Harris, Karen ; Lanni, Susan ; Mahoney, Jeanne ; Main, Elliot ; Nacht, Amy ; Schellpfeffer, Michael ; Westover, Thomas ; Harper, Margaret
Description:

Severe maternal morbidity and mortality have been rising in the United States. To begin a national effort to reduce morbidity, a specific call to identify all pregnant and postpartum women experiencing admission to an intensive care unit or receipt of 4 or more units of blood for routine review has been made. While advocating for review of these cases, no specific guidance for the review process was provided. Therefore, the aim of this expert opinion is to present guidelines for a standardized severe maternal morbidity interdisciplinary review process to identify systems, professional, and facility factors that can be ameliorated, with the overall goal of improving institutional obstetric safety and reducing severe morbidity and mortality among pregnant and recently pregnant women. This opinion was developed by a multidisciplinary working group that included general obstetrician-gynecologists, maternal-fetal medicine subspecialists, certified nurse-midwives, and registered nurses all with experience in maternal mortality reviews. A process for standardized review of severe maternal morbidity addressing committee organization, review process, medical record abstraction and assessment, review culture, data management, review timing, and review confidentiality is presented. Reference is made to a sample severe maternal morbidity abstraction and assessment form.
Subjects:

Blood Transfusion Confidentiality Female Health Information Management Humans Intensive Care Medical Audit Pregnancy Pregnancy Complications Records As Topic Research Design Time Factors
Source:

Obstet Gynecol. 2014; 124(2 0 1):361-366.
Pubmed ID:

25004341
Pubmed Central ID:

PMC4293011
Document Type:

Journal Article
Funding:

WGC0/Intramural CDC HHS/United States
Place as Subject:

United States
Volume:

124
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:7d1c1a59e7a56d6ba884b429cf19de21a16f864456332ba6ac8e7136d098347e
Download URL:

https://stacks.cdc.gov/view/cdc/30234/cdc_30234_DS1.pdf
File Type:

[PDF - 195.56 KB ]

File Language:

English

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