Using a Postpartum Hemorrhage Resuscitation Algorithm for Improving Anesthesia Provider Knowledge
PublisherThe University of Arizona.
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
AbstractThe purpose of this Doctor of Nursing Project aimed to assess, educate, and increase anesthesia providers’ knowledge regarding effective management of postpartum hemorrhage. An educational session was presented to introduce an algorithm that will guide and improve crisis management during this urgent situation. Postpartum hemorrhage is the leading cause of maternal mortality and contributes to 25% of worldwide deaths. Studies have proven the effectiveness of protocols, safety bundles, and algorithms, yet many institutions are slow to implement them into practice. This project occurred at a Level 1 trauma center in California that delivers over 2,500 babies annually but has yet to have any postpartum hemorrhage algorithms or checklists in place for anesthesia care. An educational presentation using an evidenced-based algorithm created by Dr. Apodaca was used as an educational tool to assess and enhance knowledge related to postpartum hemorrhage management. A 20-minute PowerPoint presentation was employed at a weekly anesthesia meeting. Sixteen total participants answered questions on the pre-survey (7 questions) and post-survey (10 questions). Participants consisted of anesthesia providers and registered nurse anesthesia students. A 30-day post-educational survey was also used to assess perceptions regarding the algorithm. Significant improvement in knowledge of PPH management was seen between the pre- and post-surveys. Correct answers on surveys improved from 68% to 98%. Open-ended answers on both post-surveys revealed that participants are open to implementing a resuscitation postpartum hemorrhage algorithm in their practice. Post surveys indicated providers found utility in the algorithm. Acceptance of algorithms and protocols are necessary for these evidenced-based interventions to be carried out into practice in hopes to ultimately improve outcomes.
Degree ProgramGraduate College