TY - JOUR
T1 - Standardized severe maternal morbidity review
T2 - Rationale and process
AU - Kilpatrick, Sarah J.
AU - Berg, Cynthia
AU - Bernstein, Peter
AU - Bingham, Debra
AU - Delgado, Ana
AU - Callaghan, William M.
AU - Harris, Karen
AU - Lanni, Susan
AU - Mahoney, Jeanne
AU - Main, Elliot
AU - Nacht, Amy
AU - Schellpfeffer, Michael
AU - Westover, Thomas
AU - Harper, Margaret
PY - 2014
Y1 - 2014
N2 - 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 four 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.
AB - 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 four 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.
KW - Interdisciplinary review
KW - Maternal morbidity
KW - Maternal mortality
KW - Standardized review
UR - http://www.scopus.com/inward/record.url?scp=84904468358&partnerID=8YFLogxK
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U2 - 10.1111/1552-6909.12478
DO - 10.1111/1552-6909.12478
M3 - Article
C2 - 25040068
AN - SCOPUS:84904468358
SN - 0884-2175
VL - 43
SP - 403
EP - 408
JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
IS - 4
ER -