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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.
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      Biography

      Mary E. D'Alton, MD, is the Chair of the Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY.

      Biography

      Alexander M. Friedman, MD, is an assistant professor in the Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, New York, NY.

      Biography

      Richard M. Smiley MD, PhD, Society for Obstetric Anesthesia and Perinatology, Milwaukee, WI.

      Biography

      Douglas M. Montgomery, MD, is the Chair Southern California Kaiser High Risk Obstetrics Clinical Implementation & Quality Analysis and the Director of the Maternal Fetal Medicine Department, Obstetrics and Gynecology, Kaiser Permanente Riverside Medical Center, Riverside, CA.

      Biography

      Michael J. Paidas, MD, is a professor in the Department of Obstetrics, Gynecology & Reproductive Sciences, Yale Women and Children's Center for Blood Disorders and Preeclampsia Advancement, New Haven, CT.

      Biography

      Robyn D'Oria, MA, RNC, APN, Association of Women's Health, Obstetric and Neonatal Nurses, Washington, DC.

      Biography

      Jennifer L. Frost, MD, MPH, American Academy of Family Physicians, Leawood, KS.

      Biography

      Afshan B. Hameed, MD, California Maternal Quality Care Collaborative, Stanford, CA.

      Biography

      Deborah Karsnitz, CNM, DNP, American College of Nurse-Midwives, Silver Spring, MD.

      Biography

      Barbara S. Levy, MD, American College of Obstetricians and Gynecologists, Washington, DC.

      Biography

      Steven L. Clark, MD, is a professor in the Department of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, TX.

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