Severe Hypertension in Pregnancy: Progress Made and Future Directions for Patient Safety, Quality Improvement, and Implementation of a Patient Safety Bundle
Abstract
:1. Introduction
2. Background
3. Revision of the Severe Hypertension in Pregnancy Patient Safety Bundle to Address Developments in the Field
3.1. Theme 1: Respectful, Equitable, and Supportive Care
3.2. Theme 2: Recognition of Hypertensive Emergencies across Care Settings
3.3. Theme 3: Timely Treatment of Persistent Severe Hypertension
3.4. Theme 4: Transitions of Care
4. Future Directions
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Patient Safety Bundle Domain | Example Patient Safety Bundle Elements |
---|---|
Readiness | Ensure rapid access to medications used for severe hypertension/eclampsia with a brief guide for administration and dosage in all areas where patients may be treated. |
Recognition and Prevention | Provide ongoing education to all patients on the signs and symptoms of hypertension and preeclampsia and empower them to seek care. |
Response | Utilize a standardized protocol with checklists and escalation policies, including a standard response to maternal early warning signs, listening and investigating patient-reported and observed symptoms, and assessment of standard labs for the management of patients with severe hypertension or related symptoms. |
Reporting and Systems Learning | Monitor outcomes and process data related to severe hypertension, disaggregated by race and ethnicity due to known disparities in rates of severe hypertension. |
Respectful, Equitable, and Supportive Care | Engage in open, transparent, and empathetic communication with pregnant and postpartum people and their identified support network to understand diagnoses, options, and treatment plans. |
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Prior, A.; Taylor, I.; Gibson, K.S.; Allen, C. Severe Hypertension in Pregnancy: Progress Made and Future Directions for Patient Safety, Quality Improvement, and Implementation of a Patient Safety Bundle. J. Clin. Med. 2024, 13, 4973. https://doi.org/10.3390/jcm13174973
Prior A, Taylor I, Gibson KS, Allen C. Severe Hypertension in Pregnancy: Progress Made and Future Directions for Patient Safety, Quality Improvement, and Implementation of a Patient Safety Bundle. Journal of Clinical Medicine. 2024; 13(17):4973. https://doi.org/10.3390/jcm13174973
Chicago/Turabian StylePrior, Alissa, Isabel Taylor, Kelly S. Gibson, and Christie Allen. 2024. "Severe Hypertension in Pregnancy: Progress Made and Future Directions for Patient Safety, Quality Improvement, and Implementation of a Patient Safety Bundle" Journal of Clinical Medicine 13, no. 17: 4973. https://doi.org/10.3390/jcm13174973