1. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.
- Author
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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, and Gibbs R
- Subjects
- Female, Pregnancy, Humans, Maternal Health, Consensus, Advisory Committees, Sepsis diagnosis, Sepsis prevention & control
- 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., Competing Interests: Financial Disclosure Melissa E. Bauer is a consultant for Institute for Healthcare Innovation. Catherine Albright reports receiving payment from the Seattle Foundation. Malavika Prabhu receives royalties from UpToDate, Inc. and is a consultant for Medscape. Laura Riley is on the Maven Clinic Co. Advisory Board, the New England Journal of Medicine Editorial Board, and the Contemporary OB/GYN advisory board. She received payment from Pfizer for a one-time consultation about an RSV vaccine. Melissa E. Bauer, Catherina Albright, Malavika Prabhu, Carol Burke, April Chavez, Maile Le Boeuf, Tiffany Messerall, and Ronald S. Gibbs received payment for contributions to the development of the Sepsis in Obstetric Care Change Package created by Alliance for Innovation on Maternal Health and the Institute for Healthcare Improvement. Brenna L. Hughes received payment from UpToDate, Johns Hopkins for DSMB, and the NIH for grants. Susan Kendig received payment from ACOG as a consultant to bundle development. The other authors did not report any potential conflicts of interest., (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2023
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