%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.