- Downloadable PDF of the bundle
- Complete resource listing
- The supporting commentary has been published in the following journals:
Use a standardized thromboembolism risk assessment tool for VTE during:
- Outpatient prenatal care
- Antepartum hospitalization
- Hospitalization after cesarean or vaginal deliveries
- Postpartum period (up to 6 weeks after delivery)
- A validation study of a retrospective venous thromboembolism risk scoring method – Link to abstract only; must be subscriber for full-text.
- A risk assessment model for the identification of hospitalized medical patients at risk for venous thromboembolism: the Padua Prediction Score.
- VTE, thrombophilia, antithrombotic therapy, and pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines.
- RCOG Green-Top Guideline No. 37a: Thrombosis and Embolism during Pregnancy and the Puerperium, Reducing the Risk (RCOG)
- ACOG Practice Bulletin No. 123: Thromboembolism In Pregnancy (ACOG) – Available until 10/28/16
- Apply standardized tool to all patients to assess VTE risk at time points designated under “Readiness”
- Apply standardized tool to identify appropriate patients for thromboprophylaxis
- Provide patient education
- Provide all healthcare providers education regarding risk assessment tools and recommended thromboprophylaxis
- Use standardized recommendations for mechanical thromboprophylaxis
- Use standardized recommendations for dosing of prophylactic and therapeutic pharmacologic anticoagulationUse standardized recommendations for appropriate timing of pharmacologic prophylaxis with neuraxial anesthesia
- Review all thromboembolism events for systems issues and compliance with protocols
- Monitor process metrics and outcomes in a standardized fashion
- Assess for complications of pharmacologic thromboprophylaxis
© 2015 American College of Obstetricians and Gynecologists. Permission is hereby granted for duplication and distribution of the bundle document, in its entirety and without modification, for solely non-commercial activities that are for educational, quality improvement, and patient safety purposes. All other uses require written permission from ACOG.
Standardization of health care processes and reduced variation has been shown to improve outcomes and quality of care. The Council on Patient Safety in Women’s Health Care disseminates patient safety bundles to help facilitate the standardization process. This bundle reflects emerging clinical, scientific, and patient safety advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Although the components of a particular bundle may be adapted to local resources, standardization within an institution is strongly encouraged.
The Council on Patient Safety in Women’s Health Care is a broad consortium of organizations across the spectrum of women’s health for the promotion of safe health care for every woman.
Patient Safety Bundles and Tools
- Patient Safety Bundles
- Maternal Safety Bundles
- Maternal Mental Health: Depression and Anxiety
- Maternal Venous Thromboembolism (+AIM)
- Obstetric Care for Women with Opioid Use Disorder (+AIM)
- Obstetric Hemorrhage (+AIM)
- Postpartum Care Basics for Maternal Safety
From Birth to the Comprehensive Postpartum Visit (+AIM)
- Prevention of Retained Vaginal Sponges After Birth
- Reduction of Peripartum Racial/Ethnic Disparities (+AIM)
- Safe Reduction of Primary Cesarean Birth (+AIM)
- Severe Hypertension in Pregnancy (+AIM)
- Support After a Severe Maternal Event (+AIM)
- Non-Obstetric Bundles
- Maternal Safety Bundles
- Patient Safety Tools