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. 2024 Jul-Sep;39(3):286-292.
doi: 10.1097/NCQ.0000000000000771. Epub 2024 May 15.

Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project

Stefanie Modri  1 , Mehar Sharma, Elizabeth Quigley, Raluca Anca, Brianna O'Hanlon, Elizabeth Pyle, Alicia Hussey, Rebecca Hamm, Mohika Nagpal, Kimberly K Trout
Affiliations

Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project

Stefanie Modri et al. J Nurs Care Qual. 2024 Jul-Sep.

Abstract

Background: Postpartum hemorrhage (PPH) is a leading cause of maternity mortality in the United States. The Code Crimson project aimed to enhance PPH management by implementing a standardized intervention bundle to mitigate morbidity and mortality associated with PPH.

Local problem: At a large Philadelphia tertiary hospital, health disparities existed for severe maternal morbidity and mortality, and PPH was a significant factor.

Methods: A quality improvement design, using Plan-Do-Study-Act cycles and interrupted time series analysis, was undertaken.

Interventions: The Code Crimson project implemented a standardized bundle to manage PPH, including blood product administration and massive transfusion protocol activation.

Results: After implementing the Code Crimson bundle, there was a significant decrease in blood product use ( P < .001), with minor reductions in packed red blood cell administration over 4 units and mean blood loss.

Conclusions: The Code Crimson bundle effectively reduced blood product utilization for PPH treatment.

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