Council on Patient Safety in Women's Health Care

If you haven't already, we encourage you to check out our Practicing for Patients Program. It offers FREE tools designed to help OB units conduct effective in-situ drills for hemorrhage and hypertension. bit.ly/practicingforpatients

We have joined 20 orgs to condemn the killings, violence, abuse, racism, & bias aimed at people of Asian and Pacific Islander descent, particularly women. We are committed to working collaboratively to confront these issues. Full statement: http://bit.ly/3cRQA6g

We've designed Practicing for Patients to provide all birthing facilities with the tools necessary to PRACTICE. Clinical Scenario Packages are available for and at bit.ly/practicingforpatients

We are pleased to share our redesigned Practicing for Patients Obstetric In-Situ Drill Program Manual. The program has tools that can help teams effectively meet The Joint Commission elements of performance for obstetric . http://bit.ly/practicingforpatients

Practicing for Patients Obstetric Drills Manual | Council on Patient Safety Practicing for Patients In-Situ Obstetric Drills Program Manual with tools and resources to conduct drills for selected clinical scenarios to prevent maternal mortality and morbidity

We are SO excited to share the launch of our redesigned Practicing for Patients Obstetric In-Situ Drill Program Manual, now with accompanying Clinical Simulation Scenario Packages for both hemorrhage and hypertension. Learn more and download at bit.ly/practicingforpatients

How do you practice for patient safety? View our Obstetric Drill Program Manual on Postpartum Hemorrhage here: http://bit.ly/practicingforpatients and be on the lookout for our newest manual on hypertension, launching soon!

Practicing for Patients Program | Council on Patient Safety Practicing for Patients Practice is essential to optimizing outcomes in obstetrics. Team practice

is the perfect time to check out our Maternal Urgent Warning Signs tools. Together we can empower patients and improve outcomes. http://bit.ly/UrgentMaternalSigns

Urgent Maternal Warning Signs | Council on Patient Safety Signs and symptoms that you should NEVER ignore during or after pregnancy.

This we are proud to continue to share our Voices of Impact video series, designed to elevate voices of women and families and remind us why we must NOT stop our work to provide health care for every woman.

Voices of Impact: Jamie's Story Meet Jamie, one of the 50,000 women who experience life-threatening pregnancy complications in the United States annually. Jamie's Story is the first video o...

Happy Patient Safety Awareness Week! We're celebrating by continuing to work together towards our shared vision of safe and equitable health care for every woman. Learn more @ http://bit.ly/CPSWHC

It's , a week dedicated to increasing awareness & inducing action around maternal mental health complications affecting black women during & after childbirth. The week is full of events, including today's Twitter chat with Shades of Blue Project. Together we can

Racism is a public health and patient safety issue. Read our commitment here: bit.ly/3eLxKf8

We are pleased to announce that our Urgent Maternal Warning Signs tool is now available in Spanish. bit.ly/UMWSSpanish

Our new Urgent Maternal Warning Signs tool has been designed to meet the needs of patients. The tool can be accessed online or we've designed a single-page PDF for easy printing, available here: http://bit.ly/UMWSPDF

In the midst of the global pandemic or not, these Urgent Maternal Warning Signs must NEVER be ignored. http://bit.ly/UMWS-CPS

We are excited to announce the launch of our Urgent Maternal Warning Signs tool outlining the 15 symptoms that must NEVER be ignored during or after pregnancy. http://bit.ly/UMWS-CPS

This Patient Safety Awareness Week and every week, the Council on Patient Safety in Women’s Health Care is proud to work together to deliver health care for every woman. Learn more @ bit.ly/CPSWHC

Congratulations to the award-winning programs of the Council's 3rd National Improvement Video Challenge! These teams created innovative videos to showcase their patient safety efforts in women's health care. Thank you to Baptist Health Jacksonville, Texas Collaborative for Healthy Mothers and Babies, and Montefiore Health System!

View their videos at bit.ly/NIVideoC

On December 15th, American College of Obstetricians and Gynecologists - ACOG will host "Supporting Simulation Training for Obstetric Patient Safety" at the Mary & Michael Jaharis Simulation Center at Columbia University Irving Medical Center in New York. This 1-day course utilizes a strong simulation focus and multiple learning modalities to prepare individuals to lead trainings at their institutions by supporting the implementation and sustainability of the Alliance for Innovation on Maternal Health (AIM) Obstetric Hemorrhage Bundle and the complementary Practicing for Patients manual. Learn more and register at bit.ly/2OR7t5H!

Join us on 12/15 for “Practicing for Patients Obstetric Drill Program Manual Postpartum Hemorrhage,” a one-day course that utilizes a strong simulation focus and multiple learning modalities to prepare individuals to lead trainings at their home institutions and health systems. Participants in this course can expect to learn more about obstetric hemorrhage preparation using the Alliance for Innovation on Maternal Health (AIM) Obstetric Hemorrhage Bundle and the “Practicing for Patients Postpartum Hemorrhage” manual. Register today: https://bit.ly/2OR7t5H

It is strongly suggested that registrants attend Quality and Safety for Leaders in Women’s Health Care (Dec 13-14, 2019 or previous course).

- a collaboration by Dr. Pooja Lakshmin MD, Motherhood Understood, & Jamina Bone Illustrations.

Researchers have found higher rates of Obsessive Compulsive Disorder (OCD) in women during the perinatal period. A 2005 study found that of women who had OCD, 7% said symptoms developed in pregnancy. Half of the women in the study reported worsening of pre-existing OCD symptoms in the postpartum period and 20% said symptoms worsened pre-menstrually. The study suggests that certain women with OCD may be at higher risks of worsened symptoms during times of hormonal fluctuations.

In women with postpartum OCD, the most common obsessions were around contamination and symmetry/exactness, and the most common compulsions were around cleaning and checking. OCD symptoms can also develop or worsen around feeding the baby and breastfeeding.

Sharing these symptoms with your doctor is important. Since women who have perinatal OCD do not always feel depressed, the symptoms of OCD may go undiagnosed. OCD symptoms respond to treatment, just like symptoms of depression.

Labad J, Menchon J, Alonso P, Segalas C, Jimenez S, Vallejo J. (2005) J Clin Psychiatry. II Wisner KL, Peindl KS, et al. (1999). J Clin Psychiatry. II Uguz F, Gezginc K, Zeytinci IE, et al. (2007) Compr Psychiatry.

(The information provided here is not medical advice. It is provided for education only. Do not delay seeking treatment because of something you read here. If you need help finding a perinatal mental health specialist in your area, check out the Postpartum Support International HelpLine: 1-800-944-4773, or their website www.postpartum.net for local resources. If you are having thoughts of hurting yourself, someone else, or in a clinical emergency, you should go to the ER or call 911 or the National Su***de Prevention Hotline at 1-800-273-8255.)

Today is and October is . After experiencing pregnancy or infant loss, women can experience mental health concerns such as anxiety and depression. Discussing these painful losses can be very difficult and it is important that care providers are able to effectively screen, diagnose, and provide appropriate and timely support for women and family members. To learn more about what steps you and your institution can take, view our Maternal Mental Health Patient Safety Bundle at bit.ly/MMHPSB. Together, we can provide safe health care for every woman.

Stillbirth is one of the most common adverse pregnancy outcomes, complicating 1 in 160 deliveries in the United States. Approximately 25,000 stillbirths at 20 weeks or greater of gestation are reported annually. ACOG recognizes that ob-gyns are in an important role to provide the necessary care and support for women and families during this difficult experience. Patient support should include emotional support and clear communication of test results. Ob-gyns should continue to educate patients and bring awareness to this issue through discussing pregnancy loss and support, and empowering expectant mothers to have a healthy pregnancy. Together, with improved education and prevention efforts, we can work towards uplifting patients and reducing incidence and stigma of pregnancy loss.

For more information, review ACOG's clinical guidance on the Management of Stillbirth: https://bit.ly/2OG1oci

is a collaboration by Dr. Pooja Lakshmin MD, Motherhood Understood, and Jamina Bone Illustrations.

20% of mothers will experience anxiety or depression during pregnancy or in the first year after pregnancy. Of all women who suffer mental health issues during this time period, 25-30% will have pre-existing conditions prior to pregnancy, about 30% will develop symptoms in pregnancy, and another 30% will develop symptoms in the first four weeks postpartum. Women who have a history of anxiety, depression, or bipolar disorder prior to pregnancy are among the highest risk for developing a perinatal mood or anxiety disorder during pregnancy or postpartum. The risk increases if a woman goes off her psychiatric medication during pregnancy. One study found that 43% of women with prior Major Depressive Disorder relapsed during pregnancy. When women went off their medication, the rates of relapse were higher.

Wisner KL, Sit DK, McShea MC. et al. (2013). JAMA psychiatry. II Cohen LS, et al. (2006). JAMA. II Molenaar, Nina M., et al. (2019). PloS one.

(The information provided here is not medical advice. It is provided for education only. Decisions about medication should always be made under the care of a medical provider. Do not delay seeking treatment because of something you read here. If you need help finding a perinatal mental health specialist in your area, check out the Postpartum Support International HelpLine: 1-800-944-4773, or their website www.postpartum.net for local resources. If you are having thoughts of hurting yourself, someone else, or in a clinical emergency, you should go to the ER or call 911 or the National Su***de Prevention Hotline at 1-800-273-8255.)

Today is . 1 in 4 people worldwide die of conditions caused by thrombosis, the formation of potentially deadly blood clots in the artery (arterial thrombosis) or vein (venous thrombosis). Venous thromboembolism (VTE) is often preventable and evidence-based prevention strategies can help stop the development of clots in at-risk individuals. Learn more by viewing our Patient Safety Bundle on Maternal Venous Thromboembolism Prevention at bit.ly/VTEbundle!

World Thrombosis Day

October is ! We're thankful for our members and all health care organizations that provide safe health care for every woman.

Join us throughout the month of October as we encourage those who are undergoing treatment, support the resilient survivors, and honor the memory of those who have passed. every day during Breast Cancer Awareness Month!

ONE WEEK LEFT to submit your applications for the National Improvement Video Challenge! The Challenge is designed to provide an opportunity for institutions to share how they have utilized the Council’s Patient Safety Bundles in an innovative and interactive way.

How to Apply:
- Develop a short (3-5 minute) video showcasing how a bundle has been implemented/utilized. Your video doesn’t have to cover an entire bundle. Simply pick one of the R’s to focus on or even choose just one of the elements within an R. View our Patient Safety Bundles at safehealthcareforeverywoman.org/patient-safety-bundles.
- Upload your video to your YouTube or Vimeo account.
- Submit the online Video Challenge Application Form (found on our website at bit.ly/NIVideoChallenge).

The top 3 winning teams will receive a monetary prize of up to $250 and have their videos featured on the Council website! Submissions are evaluated based on bundle implementation efforts, overall messaging and delivery, and overall quality of the video.

Applications are due by Friday, October 18. Learn more at bit.ly/NIVideoChallenge!

Today is and . The Council is dedicated to providing safe health care for every woman, including mental health care. Our Patient Safety Bundle recommends every clinical care setting identify and make available mental health screening tools, establish response protocols, and educate clinicians and office staff on recognition and response. You can view the bundle, which includes resources on perinatal and postpartum depression screenings, at bit.ly/MMHPSB.

Learn more about the World Health Organization (WHO) World Mental Health Day Campaign, which includes resources on what emergency workers, health workers, teachers, and employers can do to help prevent su***de, at https://www.who.int/news-room/events/detail/2019/10/10/default-calendar/world-mental-health-day-2019-focus-on-su***de-prevention.

World Mental Health Day 2019: focus on su***de prevention World Mental Health Day, observed on 10 October, is an opportunity to raise awareness of mental health issues and to mobilize efforts in support of mental health. This year, the theme is su***de prevention.

October is . After experiencing pregnancy or infant loss, women can experience mental health concerns such as anxiety and depression. Discussing these painful losses can be very difficult and it is important that care providers are able to effectively screen, diagnose, and provide appropriate and timely support for women and family members. To learn more about what steps you and your institution can take, view our Maternal Mental Health Patient Safety Bundle at bit.ly/MMHPSB. Together, we can provide safe health care for every woman.

Share Pregnancy & Infant Loss Support, Inc. NAMI

October 6-12 is .

Did you know that su***de is emerging as one of the leading, non-obstetric causes of - accounting for up to 20% of postpartum deaths?

With effective care, suicidal thoughts are treatable, and su***de is preventable. Learn more about how your practice can utilize mental health screening tools, establish response protocols, and educate clinicians and staff on maternal depression and anxiety by viewing our Patient Safety Bundle: bit.ly/MMHPSB.

NAMI

TWO WEEKS LEFT to submit your applications for the National Improvement Video Challenge! The Challenge is designed to provide an opportunity for institutions to share how they have utilized the Council’s Patient Safety Bundles in an innovative and interactive way.

How to Apply:
- Develop a short (3-5 minute) video showcasing how a bundle has been implemented/utilized. Your video doesn’t have to cover an entire bundle. Simply pick one of the R’s to focus on or even choose just one of the elements within an R. View our Patient Safety Bundles at safehealthcareforeverywoman.org/patient-safety-bundles.
- Upload your video to your YouTube or Vimeo account.
- Submit the online Video Challenge Application Form (found on our website at bit.ly/NIVideoChallenge).

The top 3 winning teams will receive a monetary prize of up to $250 and have their videos featured on the Council website! Submissions are evaluated based on bundle implementation efforts, overall messaging and delivery, and overall quality of the video.

Applications are due by Friday, October 18. Learn more at bit.ly/NIVideoChallenge!

*NEW RESOURCE COMING SOON*
Urgent Maternal Signs: a new patient-focused communication tool to help patients recognize when something is wrong and to encourage effective patient-provider interactions. Together we can prevent and combat maternal morbidity and mortality!

It's ! Join us in celebrating and recognizing midwives and midwife-led care. We are proud to have American College of Nurse-Midwives as one of our members. Each and every midwife is important and should be celebrated not only this week, but every week, for the incredible work they do to provide safe health care for every woman.

Congratulations to the award-winning programs of the Council's National Improvement Challenge on Reduction of Peripartum Racial and Ethnic Disparities! These teams submitted innovative projects to showcase their patient safety efforts in women's health care. Thank you to St. Louis Integrated Health Network, Robert Wood Johnson Medical School, University of Maryland St. Joseph Medical Center, and Penn Medicine!
https://safehealthcareforeverywoman.org/wp-content/uploads/2019/09/Press-Release_Winners-Cycle-5.pdf

ONE MONTH LEFT to submit your applications for the National Improvement Video Challenge! The Challenge is designed to provide an opportunity for institutions to share how they have utilized the Council’s Patient Safety Bundles in an innovative and interactive way.

How to Apply:
- Develop a short (3-5 minute) video showcasing how a bundle has been implemented/utilized. Your video doesn’t have to cover an entire bundle. Simply pick one of the R’s to focus on or even choose just one of the elements within an R. View our Patient Safety Bundles at safehealthcareforeverywoman.org/patient-safety-bundles.
- Upload your video to your YouTube or Vimeo account.
- Submit the online Video Challenge Application Form (found on our website at bit.ly/NIVideoChallenge).

The top 3 winning teams will receive a monetary prize of up to $250 and have their videos featured on the Council website! Submissions are evaluated based on bundle implementation efforts, overall messaging and delivery, and overall quality of the video.

Applications are due by Friday, October 18. Learn more at bit.ly/NIVideoChallenge!

Today is ! The Council on Patient Safety in Women's Health Care strives to continually improve through multidisciplinary collaboration that drives culture change. Learn more about our work at safehealthcareforeverywoman.org! World Health Organization (WHO)

Dr. Tamika Auguste, one of American College of Obstetricians and Gynecologists - ACOG's representatives to the Council, was on WUSA 9 this morning to discuss maternal mortality and Mayor Bowser's Maternal & Infant Health Initiative Maternal & Infant Health Summit tomorrow in Washington, DC. We'll see you there, Dr. Auguste!



Mayor Bowser DC Health DC Mayor's Office of Women's Policy & Initiatives

Mayor Muriel Bowser's National Maternal and Infant Health Summit Join Mayor Muriel Bowser at the National Maternal & Infant Health Summit in partnership with Aetna to build on the growing public awareness and interest in this important issue and the District's new approach to ensure the health of women, babies and families. The summit is an opportunity for electe...

"During 2007–2016, black and American Indian/Alaska Native women had significantly more pregnancy-related deaths per 100,000 births than did white, Hispanic, and Asian/Pacific Islander women. Disparities persisted over time and across age groups and were present even in states with the lowest pregnancy-related mortality ratios and among groups with higher levels of education. The cause-specific proportion of pregnancy-related deaths varied by race/ethnicity."

Learn more about the Council's Patient Safety Bundle on Reducing Peripartum Racial and Ethnic Disparities at https://safehealthcareforeverywoman.org/patient-safety-bundles/reduction-of-peripartum-racialethnic-disparities/.

Racial/Ethnic Disparities in Pregnancy-Related Deaths ... Most pregnancy-related deaths can be prevented, and significant racial/ethnic disparities in pregnancy-related mortality need to be addressed.