Implementing E-Learning to Enhance the Management of Postpartum Hemorrhage.
To determine if perinatal outcomes related to postpartum hemorrhage could be improved by blending existing strategies with the use of an online, assessment-driven electronic learning (e-learning) platform. The Institute for Healthcare Improvement's Model for Improvement provided a structure for this...
| Publicado en: | Nursing for Women's Health Vol. 24; no. 6; pp. 421 - 431 |
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| Autor principal: | |
| Formato: | research Journal Article |
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Elsevier B.V.
Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147227037&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147227037 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17514851 3BAX jtl: Nursing for Women's Health issn: 17514851 maglogo: N pubinfo: dt: Dec2020 vid: 24 iid: 6 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 147227037 147227037 147227037 10.1016/j.nwh.2020.09.010 147227037 ppf: 421 ppct: 10 formats: tig: atl: Implementing E-Learning to Enhance the Management of Postpartum Hemorrhage. aug: au: Miner, Julya sug: subj: Online Education Postpartum Hemorrhage Prevention and Control Postpartum Hemorrhage Education Quality Improvement Human Program Implementation Education, Continuing Outcomes of Education Pregnancy Outcomes Pregnancy Female Morbidity Maternal Mortality Pregnancy Complications United States Descriptive Statistics Record Review Retrospective Design Feedback Learning Environment Female ab: To determine if perinatal outcomes related to postpartum hemorrhage could be improved by blending existing strategies with the use of an online, assessment-driven electronic learning (e-learning) platform. The Institute for Healthcare Improvement's Model for Improvement provided a structure for this performance improvement project. Outcome evaluation was further supported by the Kirkpatrick model. Reports of rising maternal morbidity and mortality in the United States prompted action within a multisite health system. Maternity care teams were determined to proactively support excellence in practice through enhancements to continuing education. Maternity providers and nurses practicing within the organization completed the training. Online, assessment-driven learning modules for maternity emergencies were blended with existing instructor-led courses, simulation, and Team Strategies to Enhance Performance and Patient Safety (TeamSTEPPS) training in early 2017. In addition, a postpartum hemorrhage safety bundle was implemented. Outcome measures included rates of hemorrhage, massive transfusion, and intensive care unit admission for women admitted for childbirth. Outcome measures were tracked using retrospective chart review with baseline period October 1, 2016, through March 31, 2017, and performance period April 1, 2017, through March 31, 2018. Improvements in perinatal outcomes were observed. The average rate of hemorrhage decreased by 3% (from 56.4/1,000 to 54.7/1,000). Median massive transfusion rates decreased by 35% (from 2.3/1,000 to 1.5/1,000). Similarly, the median rate of maternal intensive care unit admissions decreased by 77% (from 3.1/1,000 to 0.7/1,000). A downward shift was supported with zero intensive care unit admissions for 6 of the last 7 months (n = 4,422 pregnant women or women who experienced birth during the current admission). Excellence in the management of postpartum hemorrhage was supported through a multipronged approach that included the use of an online e-learning platform for maternity emergencies. Excellence in the management of postpartum hemorrhage with improvements in perinatal outcomes is supported by the use of an assessment-driven, online e-learning platform for maternity emergencies. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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