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Background Postpartum hemorrhage (PPH) is a leading cause of preventable maternal morbidity and mortality. Standardized response to obstetric hemorrhage is associated with significant improvement in maternal outcomes, yet implementation can be challenging. Objective The primary objective is to describe the methodology for program implementation of the Alliance for Innovation on Maternal Health Safety Bundle on PPH at an urban safety-net hospital. Methods Over an 18-month period, interventions geared toward (1) risk assessment and stratification, (2) hemorrhage identification and management, (3) team communication and simulation, and (4) debriefs and case review were implemented. Hemorrhage risk assessment stratification rates were tracked overtime as an early measure of bundle compliance. Results Hemorrhage risk assessment stratification rates improved to >90% during bundle implementation. Conclusion Keys to implementation included multidisciplinary stakeholder commitment, stepwise and iterative approach, and parallel systems for monitoring and evaluation Implementation of a PPH safety bundle is feasible in a resource-constrained setting.

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maternity center participated in a Web-based education program that was used to deliver consistent education to team members about hypertensive disorders of pregnancy. The CNS and educator developed a didactic session that focused on implementation initiatives specific to the maternity center. Results Since implementation of the severe hypertension patient safety bundle, patients who experience a hypertensive emergency are promptly treated (within 60 min) with evidence-based clinical guidelines. Chart audits were performed, and it was determined that the average time from onset of a hypertensive emergency to receipt of treatment was approximately 16 min. Discussion Highly reliable organizations thrive on implementation of evidence-based practice to improve patient outcomes. After implementation, a reduction in variations of practice was noted by team members as well as improvement in standardization. This project engaged frontline nurses and interprofessional teams to achieve optimal patient outcomes.