AIM: The revised Severe Hypertension in Pregnancy patient safety bundle was released in June 2022. Additionally, the bundle revision process incorporated Respectful Care elements in a 5th R and throughout the rest of the bundle to ensure whole person, patient-centered, and trauma-informed care for every patient, in every clinical encounter.

Preeclampsia Foundation: The Cuff Project provide access to blood pressure measurement devices, economic hardship, or limited knowledge should not be barriers to home-based monitoring. Early detection of high blood pressure in pregnancy may improve outcomes. Every woman should be able to check her own blood pressure at home this problem and raises awareness of the importance of self-monitored blood pressure. 

Maternal Mortality Rate Video and Interview: PBS Newshour recently collaborated with NPR and ProPublica to report on the rise in maternal mortality rate in the United States. You can find a link to the video and interview here.

• ILPQC Maternal Hypertension Initiative: Sustainability Plan
• ILPQC HTN Sustainability Data Form

• ACOG Hypertension in Pregnancy Executive Summary
• 11 Steps to Getting Started with the Maternal Hypertension Initiative
• ILPQC Maternal Hypertension Initiative Goal & Measures
• ILPQC Severe Hypertension One Page Data Form
• ILPQC Severe Hypertension Two Page Data Form: Bedside & Chart Abstraction
• Key Driver Diagram: Maternal Hypertension Initiative
• Severe Blood Pressure Need to Treat Flyer
• AIM Patient Safety Bundle Overview
• Illinois Maternal Hypertension Initiative Comprehensive Slide Set
• ACOG: Sample Order Sets Pocket Guide

Signs to Promote Awareness:
• Emergency Department Sign
• ‘Days Since Not Treated in 60 Minutes’
• Ghostbusters Slide

M.E.O.W.S Information:
• Maternal Early Warning Criteria Article 2014
• MEOWS Scale & Scores
• Crawford Hospital MEOWS Policy

Protocols and Draft Order Sets

ACOG DII (New York)
• ACOG DII (New York) Key Elements for the Management of Hypertensive Crisis in Pregnancy

California Maternal Quality Care Collaborative
• CMQCC Accurate Blood Pressure Measurement
• CMQCC Preeclampsia Early Recognition Tool (PERT)
• CMQCC Consultation Triggers in Severe Preeclampsia
• CMQCC Proteinuria
• CMQCC Nursing Assessment Frequency

ACOG
• April 2017 ACOG Committee Opinion No. 692 

Patient Communication & Education

• • Postpartum Discharge Phone Call Script
  • CMQCC Prenatal and Postpartum Patient Counseling or Education
  • ACOG DII (New York) Preeclampsia Patient Education Handout
  • FPQC Sample Discharge Instructions

• ACOG Committee Opinion 623, Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy
• CMQCC Sample Preeclampsia/Elcampsia Medication Toolbox
• CMQCC Steps for Preparation, Storage, Ordering and Administration of Magnesium Sulfate
• ACOG Conservative Management of Preeclampsia

Algorithms for Treatment

• ACOG DII (New York) Labetalol Algorithm
• ACOG DII (New York) Hydralazine Algorithm
• ACOG DII (New York) Oral Nifedipine Algorithm
• ACOG DII (New York) Algorithm for Postpartum Education

•  Overview
•  Clinical Scenario
•  Drill Assessment Tool
• ACOG DII (New York) Severe Hypertension in Pregnancy Clinical Education Slide Set

• AHRQ TeamSTEPPS Team Strategies & Tools to Enhance Performance and Patient Safety: Briefs, Debriefs, and Huddles
• Severe Maternal Hypertension Debrief
• PHEW Debrief