Awhonn Wattie - AWHONN California Section
1/21/2019
Post partum Hemorrhage: Best
Practices to Reduce Health
Disparities
LaShea Wattie M.Ed, MSN, APRN, AGCNSBC, RNC-OB, C-EFM System Clinical Nurse Specialist, Perinatal
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Objectives
Improving Patient Outcomes
? Promote equal access of evidence ?based care practices
? Discuss effective implementation strategies and tactics to improve clinician practice through Awhonn PPH project, OPS course.
? Review best practice recommendations for TXA use in the OB patient in response to Postpartum Hemorrhage (PPH)
? Discuss how to access resources and implement changes in your institution
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Magnitude of the Problem
? Each year approximately 125, 000 women in the U.S. experience postpartum hemorrhage, its leading cause of PREVENTABLE death (Awhonn, 2014)
? Every year there are 14 million cases of postpartum hemorrhage worldwide (USAID, 2010)
? Estimated that 90% of PPH occurs within 4 hours after delivery.
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Standardization
PATIENT SAFETY RISK REDUCTION SAFE CLINICAL
OUTCOMES
Processes
ORDER SETS PROTOCOLS EDUCATION,
PATIENT TEACHING DISPARITIES
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Disparities
Cultural Competency & Communication
Literacy
Fragmentation
Bias
Co-morbidities
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Inner-Institutional
Cultural Competency: Consider the Source
? Cultural diversity officer ? Text books : Are they
current? Who was their source for obtaining the information? ? Internet searches: Are you using a reproable website? ? Breast pump rental example
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