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The opioid epidemic is a public health crisis, and pregnancy-associated morbidity and mortality due to substance use highlights the need to prioritize substance use as a major patient safety issue. To assist health care providers with this process and mitigate the effect of substance use on maternal and fetal safety, the National Partnership for Maternal Safety within the Council on Patient Safety in Women's Health Care has created a patient safety bundle to reduce adverse maternal and neonatal health outcomes associated with substance use. The Consensus Bundle on Obstetric Care for Women with Opioid Use Disorder provides a series of evidence-based recommendations to standardize and improve the quality of health care services for pregnant and postpartum women with opioid use disorder, which should be implemented in every maternity care setting. A series of implementation resources have been created to help providers, hospitals, and health systems translate guidelines into clinical practice, and multiple state-level Perinatal Quality Collaboratives are developing quality improvement initiatives to facilitate the bundle-adoption process. Structure, process, and outcome metrics have also been developed to monitor the adoption of evidence-based practices and ensure consistency in clinical care.

Background The constantly changing situations facing rapid response teams (RRTs) are confirmation that an effective training program is critical in achieving optimal patient outcomes. Method A pilot study using a quasi-experimental, pre–post test design and a simulation observational method was used to determine the effectiveness of a combined team training program on neonatal RRTs' perceived teamwork and safety culture, perceived emergency teamwork during resuscitation, knowledge level, and team performance. Results Statistically significant increases were shown in team performance, knowledge, and emergency teamwork posttraining. Teamwork and safety climate also increased, although not significantly. Conclusion Findings support a combined team training program as an effective approach for neonatal RRTs.