title: Postpartum Hemorrhage Preparedness Elements Vary Among Hospitals in New Jersey and Georgia.
abstract: OBJECTIVE
  To identify the presence or absence of 38 postpartum hemorrhage preparedness elements in hospitals in New Jersey and Georgia as a component of the Postpartum Hemorrhage Project of the Association of Women's Health, Obstetric and Neonatal Nurses.
  
  
  METHODS
  Quality improvement baseline assessment survey.
  
  
  METHODS
  Hospitals (N = 95) in New Jersey and Georgia.
  
  
  METHODS
  Key informants were clinicians who were members of their hospitals' obstetric teams and were recognized as knowledgeable about their hospitals' postpartum hemorrhage policies.
  
  
  METHODS
  An electronic survey was sent by e-mail to each identified hospital's key informant.
  
  
  RESULTS
  The mean number of elements present was 23.1 (SD = 5.2; range = 12-34). Volume of births, students, magnet status, and other hospital characteristics did not predict preparedness. None of the hospitals had all of the 38 preparedness elements available. Less than 50% of the hospitals had massive hemorrhage protocols, performed risk assessments and drills, or measured blood loss. For every 10% increase in the total percentage of African American women who gave birth, there was a decrease of one preparedness element.
  
  
  CONCLUSIONS
  Objective measures of preparedness are needed, because perceptions of preparedness were inconsistent with the number of preparedness elements reported.
authors: Debra
authors: D
authors: Bingham
authors: Benjamin
authors: B
authors: Scheich
authors: Renée
authors: R
authors: Byfield
authors: Barbara
authors: B
authors: Wilson
authors: Brian T
authors: BT
authors: Bateman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D036861:Delivery, Obstetric / Q000523:psychology / Q000592:standards; D005260:Female; D005845:Georgia; D019538:Health Care Surveys; D006761:Hospitals / Q000592:standards; D006801:Humans; D000068101:Maternal-Child Health Services / Q000458:organization & administration / Q000592:standards; D009515:New Jersey; D016134:Organizational Policy; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D011247:Pregnancy; D011785:Quality Assurance, Health Care / Q000379:methods / Q000592:standards; D058996:Quality Improvement; D018570:Risk Assessment / Q000379:methods / Q000458:organization & administration / Q000592:standards
keywords: hemorrhage preparedness; hemorrhage protocol; obstetric hemorrhage; quality improvement