National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism

Obstetric venous thromboembolism is a leading cause of severe maternal morbidity and mortality. Maternal death from thromboembolism is amenable to prevention, and thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate. Observational data support...

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Bibliographic Details
Published in:Journal of midwifery & women's health 2016-09, Vol.61 (5), p.649-657
Main Authors: D'Alton, Mary E., Friedman, Alexander M., Smiley, Richard M., Montgomery, Douglas M., Paidas, Michael J., D'Oria, Robyn, Frost, Jennifer L., Hameed, Afshan B., Karsnitz, Deborah, Levy, Barbara S., Clark, Steven L.
Format: Article
Language:English
Subjects:
Death
Death & dying
Guidance
Health care
Health risk assessment
Interdisciplinary approach
Interdisciplinary aspects
Learning
Maternal death
Maternal mortality
Morbidity
Morbidity-Mortality
Mortality
Mortality rates
Nursing
Obstetrics
Patient care
Patient safety
Patients
Readiness
Risk assessment
Risk factors
Safety measures
Standardization
Thromboembolism
Venous thrombosis
Women's issues
Womens health
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Summary:Obstetric venous thromboembolism is a leading cause of severe maternal morbidity and mortality. Maternal death from thromboembolism is amenable to prevention, and thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate. Observational data support the benefit of risk‐factor‐based prophylaxis in reducing obstetric thromboembolism. This bundle, developed by a multidisciplinary working group and published by the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care, supports routine thromboembolism risk assessment for obstetric patients, with appropriate use of pharmacologic and mechanical thromboprophylaxis. Safety bundles outline critical clinical practices that should be implemented in every maternity unit. The safety bundle is organized into 4 domains: Readiness, Recognition, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged.
ISSN:1526-9523
1542-2011
DOI:10.1111/jmwh.12544