title: National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism.
abstract: Obstetric venous thromboembolism is a leading cause of severe maternal morbidity and mortality. Maternal death from thromboembolism is amenable to prevention, and thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate. Observational data support the benefit of risk-factor-based prophylaxis in reducing obstetric thromboembolism. This bundle, developed by a multidisciplinary working group and published by the National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care, supports routine thromboembolism risk assessment for obstetric patients, with appropriate use of pharmacologic and mechanical thromboprophylaxis. Safety bundles outline critical clinical practices that should be implemented in every maternity unit. The safety bundle is organized into four domains: Readiness, Recognition, Response, and Reporting and Systems Learning. Although the bundle components may be adapted to meet the resources available in individual facilities, standardization within an institution is strongly encouraged.
authors.affiliation: From the Columbia University College of Physicians and Surgeons, New York, New York; the Society for Obstetric Anesthesia and Perinatology, Milwaukee, Wisconsin; Kaiser Permanente Riverside Medical Center, Riverside, California; Yale Women and Children's Center for Blood Disorders and Preeclampsia Advancement, New Haven, Connecticut; the Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC; the American Academy of Family Physicians, Leawood, Kansas; California Maternal Quality Care Collaborative, Stanford, California; the American College of Nurse-Midwives, Silver Spring, Maryland; the American College of Obstetricians and Gynecologists, Washington, DC; and Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
authors.forename: Mary E
authors.initials: ME
authors.lastname: D'Alton
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Friedman
authors.forename: Richard M
authors.initials: RM
authors.lastname: Smiley
authors.forename: Douglas M
authors.initials: DM
authors.lastname: Montgomery
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Paidas
authors.forename: Robyn
authors.initials: R
authors.lastname: D'Oria
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Frost
authors.forename: Afshan B
authors.initials: AB
authors.lastname: Hameed
authors.forename: Deborah
authors.initials: D
authors.lastname: Karsnitz
authors.forename: Barbara S
authors.initials: BS
authors.lastname: Levy
authors.forename: Steven L
authors.initials: SL
authors.lastname: Clark
mesh_terms: D036861:Delivery, Obstetric / Q000009:adverse effects / Q000379:methods / Q000592:standards; D005260:Female; D006801:Humans; D063130:Maternal Death / Q000517:prevention & control*; D008428:Maternal Mortality / Q000639:trends; D061214:Patient Safety / Q000592:standards; D006473:Postpartum Hemorrhage / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D054556:Venous Thromboembolism / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*