Perceptions of Safety Improvement Among Clinicians Before and After Participation in a Multistate Postpartum Hemorrhage Project.

Objective: To measure whether implementation of a comprehensive, 18-month, multihospital, multiregion postpartum hemorrhage (PPH) project influenced intrapartum clinicians' perceptions of patient safety.

Design: Pre- and post-survey design.

Setting: Survey results from eight hospitals in Georgia, New Jersey, and Washington that participated in the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) PPH Project were included in the final analysis.

Structure, Process, and Outcome Data of AWHONN's Postpartum Hemorrhage Quality Improvement Project.

Objective: To describe the structures and processes implemented during the Association of Women's Health, Obstetric, and Neonatal Nurses Postpartum Hemorrhage (AWHONN PPH) Project.

Design: An 18-month, multiregion, multihospital quality improvement project.

Setting/local Problem: Fifty-eight hospitals located in Washington, DC; Georgia; and New Jersey.

Barriers and Facilitators to Implementation of a Multistate Collaborative to Reduce Maternal Mortality From Postpartum Hemorrhage.

Objective: To describe the barriers and facilitators to implementing the Association of Women's Health, Obstetric and Neonatal Nurses Postpartum Hemorrhage (AWHONN PPH) Project experienced by hospital leaders, project champions, and staff.

Design: Qualitative descriptive study with a grounded theory approach.

Setting: Hospital leaders, champions, and staff from hospitals in New Jersey and Georgia.

Postpartum Hemorrhage Preparedness Elements Vary Among Hospitals in New Jersey and Georgia.

Objective: To identify the presence or absence of 38 postpartum hemorrhage preparedness elements in hospitals in New Jersey and Georgia as a component of the Postpartum Hemorrhage Project of the Association of Women's Health, Obstetric and Neonatal Nurses.

Design: Quality improvement baseline assessment survey.

Setting: Hospitals (N = 95) in New Jersey and Georgia.

Content Validity Testing of the Maternal Fetal Triage Index.

Objective: To describe the development and content validity testing of the Maternal Fetal Triage Index (MFTI), a standardized tool for obstetric triage.

Design: Online survey.

Participants: Participants included 15 registered nurses, 15 certified nurse-midwives, and 15 physicians from across the United States who provided maternity care.

Interrater Reliability Testing of the Maternal Fetal Triage Index.

Objective: To conduct interrater reliability testing of the Maternal Fetal Triage Index (MFTI), a standardized tool for obstetric triage.

Design: Observational study of a convenience sample of nurses' triage assessments of hospital-based obstetric patients.

Setting: A birth unit of a suburban hospital located in a large metropolitan region with approximately 5,200 births annually.

Key findings from the AWHONN perinatal staffing data collaborative.

The Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) created the Perinatal Staffing Data Collaborative in response to the release of its Guidelines for Professional Registered Nurse Staffing for Perinatal Units. In total, 183 surveys were submitted from 175 birthing hospitals in the United States. These findings represent the largest set of data available to describe current patterns in perinatal registered nurse (RN) staffing.