As part of the project for patient safety the Regional Center for Clinical Risk Management of Tuscany has launched a campaign on the prevention and management of postpartum hemorrhage.
In order to provide a guide to individual health structures for the implementation of interventions that might lead to better prevention and management of this event, has developed a guidance document "Best Practices for prevention and management of post-partum hemorrage” (Chapter 2.2 Best Practices for patient Safety in Obstetrics and Gynecology, published in No. 1 of: Notebooks of laboratories for patient safety).
Based on the indications suggested by the Regional Good Practice LHA 4of Prato has:
1. implemented the dissemination of the document to address GRC Regional Centre to all relevant staff;
2. provided a procedure for the adoption of formalized good practice;
3. applied the regional indications for the prevention and management of post-partum, according to the responsibilities identified and in particular:
- The prevention of post-partum hemorrhage through the active management of post-partum;
- The timely diagnosis of postpartum hemorrhage (procedure for the estimation of blood loss), the search for the cause of bleeding and the immediate availability of tools and materials (Kit hemorrhage);
- Coordinated multidisciplinary management of cases of postpartum hemorrhage through the implementation of an operating instruction for the management of hemorrhagic shock.
- Sharing with anesthetists and the blood center's operation instruction for the management of hemorrhagic shock;
- The planning and execution of training events on laparotomy techniques in postpartum hemorrhage;
- The implementation of the default grid for the documentation of cases of postpartum hemorrhage;
- Programming an audit of any postpartum hemorrhage;