Hypertensive disorders of pregnancy (HDPs) are among the leading causes of severe maternal morbidity and mortality and are preventable when caught and treated appropriately. The ALPQC is implementing the Alliance for Innovation on Maternal Health Severe Hypertension in Pregnancy Patient Safety Bundle. The resources below have been compiled by an ALPQC subcommittee to help your hospital team establish protocols, processes, and education to ensure pregnant and postpartum patients with hypertension/preeclampsia are identified quickly and managed well to avoid further complications.
Key Documents
Maternal Hypertension Charter (June 2022)
HTN Getting Started Kit (June 2022)
Worksheets
- SMART Aim Worksheet
- Driver Diagram Worksheet
- 30-60-90 Day Plan Worksheet
- 30-60-90 Day Plan Sample (04/07/2021)
Plan-Do-Study-Act (PDSA) Cycles
Data Resources
- HTN Outcome Measures Codes (Excel) (July 2022)
- HTN Data Measures Form (PDF) (September 2022)
- HTN Data Collection Form – Outcome Measures (Excel) (September 2022)
- HTN Data Collection Form – Process+Structure Measures (Excel) (September 2022)
- How to Use Random Number Generator (PDF)
- HTN Outcome Baseline Data Collection Instructions (PDF) (August 2022)
- ALPQC Maternal HTN FAQs (June 2022)
- AIM HTN Bundle Data Collection Plan (PDF) (September 2022)
- AlaHA Data Portal Graphing How-To (PDF)
Maternal HTN Toolkit
Readiness: Develop & Implement Standard Processes for Optimal Care
- AIM Severe Hypertension in Pregnancy Bundle Implementation Details
- ACOG Committee Opinion 767: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period
- Maternal Early Warning Criteria Protocols and Resources – Council on Patient Safety on Women’s Health Care
- CMQCC Preeclampsia Toolkit
- Safety Action Series: Blood Pressure Basics
- 7 Simple Tips to Get an Accurate BP Measurement – AHA, AMA
- Accurate BP Measurement – OPQIC
Emergency Department
Recognition & Prevention: Educate, Identify, Assess
- Clinical Staff Education
- Conduct Regular Drills of Severe Hypertension Protocols
- Support After a Severe Maternal Event AIM Bundle & Resources
- Getting Back Up: Being and Helping the Second Victim – SMFM
Respond: Timely Treatment of Severe Hypertension
- Timely treatment of severe hypertension
- AIM FAQ: Treatment for Acute Onset Severe Hypertension
- First Line Therapies and Seizure Prophylaxis – ACOG District II
- Steps for Preparation, Storage, Ordering and Administration of Magnesium Sulfate – CMQCC
- Post-Discharge Evaluation of Elevated BP – ACOG District II
- Protocols, Draft Order Sets and Checklists:
- ACOG Hypertensive Emergency Checklist
- ACOG Eclampsia Checklist
- ACOG Emergency Department Postpartum Preeclampsia Checklist
- First Line Therapies Algorithms – ACOG District II
- ACOG Sample Order Sets Pocket Guide – ILPQC
- CMQCC Preeclampsia Toolkit
- Sample Preeclampsia/Eclampsia Medication Toolbox – CMQCC
- ACOG District II Safe Motherhood Initiative App (NEW)
- Provide Patient-Centered Education on Severe Hypertension
- Teach-Back Method for Improved Patient Education – AHRQ
- The Cuff Project: Making Self-Monitored Blood Pressure Accessible – Preeclampsia Foundation
- Prenatal and Postpartum Patient Counseling or Education – CMQCC
- FPQC Sample Discharge Instructions
- Urgent Maternal Warning Signs Flyer – ACOG (English and Spanish)
- Post Birth Warning Signs Educational Materials – AWHONN (Available in multiple languages)
- Signs and Symptoms Materials – Preeclampsia Foundation (English and Spanish)
- Preeclampsia Patient Education Handout – ACOG District II
- My Health Beyond Pregnancy – Preeclampsia Foundation (6/10/2021)
- Maternal Mental Health: Depression and Anxiety AIM Bundle & Resources
Change Systems: Foster a Culture of Safety and Improvement
- Respectful Patient Partnership
- Visualizing Health Equity: One Size Does Not Fit All (NEW)
- Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families – AHRQ (NEW)
- Safety Action Series – Empowering Patients, Improving Outcomes
- ACOG District II Symposium on Racial Disparities and Implicit Bias in Obstetrical Care
- Reduction of Peripartum Racial/Ethnic Disparities AIM Bundle & Resources
- Harvard Project Implicit
- IHI Achieving Health Equity: A Guide for Health Care Organizations
- March of Dimes – A Health Crisis Impacting Women and Babies of Color
- CDC Hear Her Campaign
- Conduct Debriefs to Evaluate Effectiveness of Care, Treatment, Services
- Huddles, Debriefs, Multi-Disciplinary Reviews Tools
- TeamSTEPPS Team Strategies & Tools to Enhance Performance and Patient Safety: Briefs, Debriefs and Huddles
- Hypertensive Emergency Team Debriefing Form – Huntsville Hospital System
- Severe Hypertension-Preeclampsia Debrief Form – CMQCC
- Hypertension in Pregnancy Debriefing Guidance, Forms and Tips – FPQC
- Severe Hypertension Debrief Form- ILPQC
- Severe Maternal Morbidity Review Guidance & Forms – Council on Patient Safety in Women’s Health Care
Additional Resources
- AIM Severe Hypertension in Pregnancy Patient Safety Bundle webpage
- ILPQC Severe Maternal Hypertension Initiative
- FPQC Hypertension in Pregnancy Initiative
- SMFM Course: New Joint Commission Standards for Maternal Safety – Practical Strategies for Implementation
- The Joint Commission R3 Report Issue 24: PC Standards for Maternal Safety
Webinar Slides
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- Action Period Call: Data Collection & Reporting Clarifications- September 2022 | Slides
- Action Period Call: Data Collection Strategies & Reporting – August 2022 | Slides
- 2022 Learning Session 1.2: QI and Data – July 2022 | Slides | Recording
- 2022 Learning Session 1: Maternal Hypertension Overview – June 2022 | Slides | Recording
- Drills, Simulations and Debriefs – July 2021
- Team Talks – June 2021
- Readiness – May 2021
- Data Measures and Portal Review – April 2021
- Severe Hypertension Identification & Management – March 2021
- Collecting & Entering Data – February 2021
- 2021 Learning Session: Maternal Hypertension Overview – January 2021
ALPQC 2020 Summit Video and Slides
