%0 Journal Article %T Code Crimson: A Postpartum Hemorrhage Bundled Intervention Quality Improvement Project. %A Modri S %A Sharma M %A Quigley E %A Anca R %A O'Hanlon B %A Pyle E %A Hussey A %A Hamm R %A Nagpal M %A Trout KK %J J Nurs Care Qual %V 39 %N 3 %D 2024 Jul-Sep 1 %M 38747711 %F 1.728 %R 10.1097/NCQ.0000000000000771 %X BACKGROUND: Postpartum hemorrhage (PPH) is a leading cause of maternity mortality in the United States. The Code Crimson project aimed to enhance PPH management by implementing a standardized intervention bundle to mitigate morbidity and mortality associated with PPH.
OBJECTIVE: At a large Philadelphia tertiary hospital, health disparities existed for severe maternal morbidity and mortality, and PPH was a significant factor.
METHODS: A quality improvement design, using Plan-Do-Study-Act cycles and interrupted time series analysis, was undertaken.
METHODS: The Code Crimson project implemented a standardized bundle to manage PPH, including blood product administration and massive transfusion protocol activation.
RESULTS: After implementing the Code Crimson bundle, there was a significant decrease in blood product use ( P < .001), with minor reductions in packed red blood cell administration over 4 units and mean blood loss.
CONCLUSIONS: The Code Crimson bundle effectively reduced blood product utilization for PPH treatment.