Safety Action Series

The Council on Patient Safety in Women’s Health Care is pleased to sponsor and convene the Safety Action Series. The Series is comprised of free teleconferences on various topics relevant to promoting a culture of safety in women’s health care. The series is designed to be interactive and collaborative, with ample time allotted during each session for audience participation.


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December 2018

National Improvement Challenge: Safe Reduction of Primary Cesarean Births

December 5, 2018 from 2:00 pm - 3:00 pm EST

Objectives Learn about the National Improvement Challenge issued by the Council on Patient Safety in Women’s Health Care. Hear from the winners of the fourth cycle on Safe Reduction of Primary Cesarean Births. Through their presentations you will: Learn how each of the winning institutions successfully utilized the Council’s patient safety materials to drive process improvement around the safe reduction of primary cesarean births and promotion of intended vaginal births. Gain valuable insight on ways that your institution can successfully develop…

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November 2018

Collaborative Management of Women with Substance Use Disorders During and Beyond Pregnancy

November 13, 2018 from 12:30 pm - 1:30 pm EST

Objectives Provide an overview of current guidelines and resources for prevention and treatment of women with substance use disorders (SUD) during the perinatal period Identify key elements of quality care for prenatal and postpartum women with SUD and their children, including family planning, pain management, and infant care counseling Discuss the importance of interdisciplinary collaboration across systems and provide suggestions for partnering with other providers and patients to provide the best quality of care Speakers Monika Taylor, MBA, LCSW, CASAC…

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October 2018

Assessing and Minimizing Risk of Infection After Gynecologic Surgery

October 16, 2018 from 12:30 pm - 1:30 pm EDT

Objectives Discuss risk factors for infection after gynecologic surgery Highlight strategies for controlling alterable risk and managing unalterable risk Provide real world examples of how teams and systems can lower their infection rate Speakers Linda R. Greene, RN, MPS, CIC Infection Prevention Manager University of Rochester, Highland Hospital     Oluwatosin Goje, MD, MSCR Reproductive Infection Diseases Program Cleveland Clinic  

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September 2018

Time to Panic? Psychosis, Suicidality, and Drug Overdose in the Perinatal Period

September 13, 2018 from 2:00 pm - 3:00 pm EDT

Objectives Discuss response to a pregnant patient with psychosis List strategies for decreasing risk among suicidal patients Describe challenges in the diagnosis of psychosis and list treatment options for substance use disorder Speakers M. Camille Hoffman, MD, MSc Associate Professor, Maternal Fetal Medicine University of Colorado Departments of Ob-Gyn & Psychiatry   Scott A Simpson, MD, MPH Medical Director, Psychiatric Emergency Services, Denver Health Medical Center Assistant Professor, University of Colorado School of Medicine

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August 2018

Challenging Unconscious Biases, Improving Women’s Health Outcomes

August 17, 2018 from 1:00 pm - 2:00 pm EDT

Objectives Define Unconscious Bias and introduce the “Groundwater Analysis of Racial Inequities” to increase awareness and understanding of institutional and structural racism as the underlying causes of health disparities. Identify behaviors that suggest biases Discuss real world experiences of unconscious bias in the medical setting Share techniques clinicians can utilize to reduce their biases and improve care Speakers   Joyce James, LMSW - AP Racial Equity Consultant, Joyce James Consulting     Angela Marshall, MD, FACP Internist, Comprehensive Women's Health…

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July 2018

Improving #PostBirth Education: Effectively Educating Patients on Postpartum Complications

July 18, 2018 from 1:00 pm - 2:00 pm EDT

Objectives Discuss the leading causes, trends, and effects of postpartum morbidity and mortality. Describe recommendations for standardizing the education all new mothers receive about the symptoms of the most common postpartum complications. Share next steps for improving #POSTBIRTH discharge education. Speakers Debra Bingham, DrPH, RN, FAAN Director of the Institute for Perinatal Quality Improvement Associate Professor, University of Maryland, School of Nursing   Alison Stuebe, MD, MSc, FACOG Associate Professor, Maternal Fetal Medicine, University of North Carolina

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May 2018

Improving Care and Support for Patients Experiencing Birth Trauma

May 18, 2018 from 1:00 pm - 2:00 pm EDT

Speakers Heidi Koss, MA, LMHC Perinatal Mental Health Specialist, Perinatal Support Washington Dawn Thompson Founder and President, Improving Birth

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Challenges in Management of Severe Hypertension: Beyond the Hospital

May 8, 2018 from 12:00 pm - 1:00 pm EDT

Speakers Brandi Bigelow Cleveland, OH Promise Walk for Preeclampsia Coordinator Judette Louis, MD, MPH Associate Professor, Department of Obstetrics & Gynecology Division Chief, Maternal Fetal Medicine University of South Florida College of Medicine Courtney Townsel, MD Maternal Fetal Medicine, University of Connecticut

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April 2018

Recognizing Opioid Use Disorder During Pregnancy: Effective Screening Methods for OUD and its Co-Morbidities

April 18, 2018 from 2:00 pm - 3:00 pm EDT

Speakers Daisy Goodman, DNP, CNM, MPH Clinical Assistant Professor, Department of Obstetrics and Gynecology, Geisel School of Medicine, Dartmouth Director of Women’s Health Services, Dartmouth—Hitchcock Perinatal Addiction Treatment Program   Timothy Fisher, MD, FACOG Director, Obstetrics and Gynecology Residency Program; Associate Professor of Obstetrics and Gynecology, Geisel School of Medicine, Dartmouth Objectives Describe SBIRT as a methodology to incorporate universal screening for substance use during pregnancy. Identify specific recommendations to screen for infectious disease in pregnant women. Explore validated screening…

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March 2018

Postpartum Care Basics for Maternal Safety: Transition from Maternity to Well-Woman Care Patient Safety Bundle Presentation

March 29, 2018 from 2:00 pm - 3:00 pm EDT

Speakers Susan Kendig,  JD, WHNP-BC, FAANP Women's Health Integration Specialist, SSM Health-St. Mary's Hospital, St. Louis, MO Director of Policy, National Association of Nurse Practitioners in Women's Health Renee Carter, MD, MPH, FACP Associate Professor, Department of Internal Medicine, Virginia Commonwealth University School of Medicine  Objectives Provide an in-depth overview of the Postpartum Care Basics for Maternal Safety: Transition from Maternity to Well-Woman Care Patient Safety Bundle Take a look at the processes, methods, and tools that were used to…

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Prevention of Retained Vaginal Sponges After Birth Patient Safety Bundle Presentation

March 16, 2018 from 2:00 pm - 3:00 pm EDT

Speakers John Keats, MD, CPE National Medical Director, Enterprise Trend Analysis, Cigna Jennifer Frost, MD Medical Director, Health of the Public and Science, American Academy of Family Physicians Objectives Provide an in-depth overview of the Prevention of Retained Vaginal Sponges After Birth Patient Bundle. Take a look at the processes, methods, and tools that were used to develop the bundle. Give suggestions for how to effectively implement and utilize the bundle within your organization. Identify resources to customize the bundle…

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January 2018

National Improvement Challenge: Surgical Site Infections After Major Gynecologic Surgery Award Winning Programs

January 10, 2018 from 12:30 pm - 1:30 pm EST

  Winning Institutions First Place (tie): Carilion Roanoke Memorial Hospital & Yale University School of Medicine Second Place: York College of Medicine/ WellSpan Nurse Anesthesia Program Third Place: Jamaica Hospital Medical Center   Speakers Janet Osborne, MD, FACOG & Donna Sams, RN Linda Fan, MD, FACOG & Heidi Rillstone, RN Adriane Burgess, PhD, RN & Keziah Summers, BSN, SRNA Susan Khalil, MD, FACOG & Amirah Abdallah, MD Objectives

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October 2017

Patient, Family, and Staff Support After Obstetric Hemorrhage

October 31, 2017 from 1:30 pm - 2:30 pm EDT

Speakers Charlene Collier, MD, MPH Obstetrician-Gynecologists, University of Mississippi Medical Center; Director, Mississippi Perinatal Quality Collaborative Scott E. Hall, PhD, LPCC-s Professor, Department of Counselor Education & Human Services, University of Dayton, Ohio Objectives Share examples of the patient and family perspectives during Obstetric Hemorrhage Outline the importance of continued support for patients and their supporters and discuss the role of the provider and staff during and after an obstetric hemorrhage Provide a framework for communication and actionable steps for support…

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Reducing Health Disparities: Shared Decision Making & Patient Empowerment

October 17, 2017 from 2:00 pm - 3:00 pm EDT

Speakers LaToshia Rouse Alliance for Innovation on Maternal Health (AIM) Patient Partner Perinatal Quality Collaborative of North Carolina Arthur Ollendorff, MD Maternal Projects Lead, Perinatal Quality Collaborative of NC Ob-Gyn Physician, Mountain AHEC, Asheville, NC Objectives Identify the historical, socio-cultural factors that have resulted in barriers of patient-provider communication. Define shared decision making and its role in empowering women. Discuss methods and best practices for using shared decision making to empower patients and engage in care.

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September 2017

Obstetric Care for Women with Opioid Use Disorder Patient Safety Bundle Presentation

September 6, 2017 from 1:30 pm - 2:30 pm EDT

Speakers Elizabeth Krans, MD, MSc Assistant Professor, Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh Medical Center Miskha Terplan, MD, MPH Professor, Department of Obstetrics and Gynecology, Virginia Commonwealth University Objectives Provide an in-depth overview of the Obstetric Care for Women with Opioid Use Disorder Patient Safety Bundle Take a look at the processes, methods, and tools that were used to develop the bundle. Give suggestions for how to effectively implement and utilize the bundle within your organization. Identify…

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July 2017

Implementing the Safe Reduction of Primary Cesarean Patient Safety Bundle: A Look at Institutions’ Efforts

July 27, 2017 from 12:00 pm - 1:00 pm EDT

Speakers Ellen Ray, CNM & Joyce Bragg, RN Carroll Hospital Center Cathy O'Boyle, MSN, RN & Jacqueline Wallace, MD. MPH Saint Agnes Healthcare Objectives Share experiences and lessons learned from implementing the Safe Reduction of Primary Cesarean Birth: Supporting Intended Vaginal Births Patient Safety Bundle in two institutions Discuss challenges faced during bundle implementation and strategies used to overcome these barriers Provide real world examples of successful approaches to bundle implementation and culture change on an institutional level

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Steps Toward Achieving Birth Equity & Reducing Maternal and Infant Mortality Among Black Women

July 6, 2017 from 12:00 pm - 1:00 pm EDT

Speakers Joia Crear-Perry, MD, FACOG President & Founder, National Birth Equity Collaborative Chanel L. Porchia-Albert, CD, CLC, CHHC Founder & Executive Director, Ancient Song Doula Services Health & Reproductive Justice Advocate Objectives Define birth equity and consider it under the lens of patient safety Identify systemic factors that perpetuate health disparities among black women and discuss the importance of addressing them in the efforts to improve health outcomes Share tools and best practices for reducing maternal and infant mortality, including the collaborative…

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May 2017

Maternal Early Warning Signs: Preeclampsia

May 30, 2017 from 12:00 pm - 1:00 pm EDT

Presenters: Eleni Tsigas Executive Director, Preeclampsia Foundation Jessica Deeb MS, RN, WHNP-BC, IBCLC, LCCE Perinatal Quality, Risk, and Safety Program Coordinator, NYU Langone Medical Center; Lamaze Certified Childbirth Educator

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Effectively Communicating with Moms About Screening & Treatment for Perinatal Depression & Anxiety

May 19, 2017 from 1:30 pm - 2:30 pm EDT

Presenters: Lenore Jarvis, MD Emergency Medicine Specialist, Children's National Health System Pooja Lakshmin, MD Psychiatrist, George Washington University

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Collaborative Care Models for Perinatal Mental Health: A Systems Approach to Best Practices

May 12, 2017 from 12:00 pm - 1:00 pm EDT

Presenters: Nancy Grote, PhD, MSW Principal Investigator, MOMCare Program and Research Associate Professor, University of Washington School of Social Work Emily Miller, MD, MPH Assistant Professor, Obstetrics and Gynecology-Maternal Fetal Medicine and Psychiatry and Behavioral Sciences, Northwestern University

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April 2017

Postpartum Care Basics for Maternal Safety: From Birth to the Comprehensive Postpartum Visit Bundle Presentation

April 18, 2017 from 3:00 pm - 4:00 pm EDT

Presenters: Susan Kendig, MSN, JD, WHNP, National Association of Nurse Practitioners in Women's Health; University of Missouri - St. Louis Alison Stuebe, MD, MSc, University of North Carolina

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Maternal Mortality: What Do the Numbers Mean?

April 3, 2017 from 1:30 pm - 2:30 pm EDT

Presenters: Donna L. Hoyert, PhD, Centers for Disease Control and Prevention Marian MacDorman, PhD, Maryland Population Research Center

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March 2017

Patient, Family, and Staff Support: Managing Medical Trauma

March 13, 2017 from 11:00 am - 12:00 pm EDT

Presenters: Michelle E. Flaum Hall, Ed.D., LPCC-s & Patrice M. Weiss, MD

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February 2017

Calculating Cumulative Blood Loss: Quantification Methods and Implementation Strategies

February 13, 2017 from 11:00 am - 12:00 pm EST

Presenters: Dena Goffman, MD, FACOG & Colleen Lee, RN, MS

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December 2016

National Improvement Challenge on Hypertension in Pregnancy Winning Programs

December 12, 2016 from 2:00 pm - 3:00 pm EST

Winning Programs: First Place: University of Pennsylvania Second Place: South Nassau Communities Hospital Third Place: Beaumont Health - Dearborn Fourth Place: Truman Medical Centers Presenters: Adi Hirshberg, MD & Sindhu Srinivas, MD, MSCE, FACOG, Madeline Cozzi-Gottlieb, MS, FNP-BC, RNC-OB, c-EFM, Shelley Binkley, MD, FACOG & Melody Zoma, MD, Kelli Pryor, CRNA, DNP & Kenna O'Sullivan, BSN, RN

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November 2016

Presentation of Reduction of Peripartum Racial/Ethnic Disparities Bundle

November 4, 2016 from 12:30 pm - 1:30 pm EDT

Presenters: William Grobman, MD and Elizabeth Howell, MD, MPP

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September 2016

Severe Maternal Morbidity: Identifying Cases, Conducting Reviews, and Improving Outcomes

September 23, 2016

Presenters: Lisa Buczkowski, RN, MS, CPPS and Sarah Kilpatrick, MD, PhD, FACOG

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August 2016

Effective Use of Labor Induction to Support Intended Vaginal Birth

August 24, 2016

Presenters: Joyce Edmonds, PhD, MPH, RN and David Lagrew, MD, FACOG

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Maternal Early Warning System: Successfully Implementing and Utilizing an Escalation Plan

August 15, 2016

Presenters: Deb Kilday, MSN, RN and Beth McGovern, MSN, RNC-OB, CHSE

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July 2016

Insights and Lessons Learned from Implementing the Prevention of Surgical Site Infections Bundle

July 13, 2016

Presenters: Tirun Gopal, MD, FACOG and Danielle Partee, RN

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June 2016

Utilizing Administrative Data to Drive Quality Improvement in Maternal Health

June 9, 2016

Presenters: Steve Bloom, MD, FACOG and Janet Muri, MBA

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Successfully Implementing Quality Improvement Projects: Presentation of Resource Toolkit

June 1, 2016

Presenters: Sue Gullo, MS, RN and Barbara O’Brien, MS, RN

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May 2016

Fostering Labor Support and Culture Change to Promote Vaginal Births

May 12, 2016

Presenters: Abraham Lichtmacher, MD, FACOG and Lowry Simpson, CNM

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Maternal Mental Health: Enhancing Screening and Better Practices

May 5, 2016

Presenters: Tiffany A. Moore Simas, MD, MPH, MEd, FACOG and Christena Raines, RN, MSN, APRN-BC

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April 2016

Assessing Risk for Antenatal Venous Thromboembolism

April 20, 2016

Presenters: Michael Paidas, MD, FACOG and Liyana Winchell, RN, BSN

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Using a Team-Based Care Approach to Preventing Surgical Site Infections in Gynecologic Surgery

April 12, 2016

Presenters: David Soper, MD, FACOG and Paloma Toledo, MD, MPH

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March 2016

Supporting Intended Vaginal Births through Patient Education and Shared Decision Making

March 24, 2016

Presenters: Brownsyne Tucker Edmonds, MD, MPH, FACOG and Lisa Kane Low, PhD, CNM, FACNM, FAAN

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February 2016

Presentation of Maternal Mental Health Patient Safety Bundle: Perinatal Depression and Anxiety

February 23, 2016

Presenters: John Keats, MD, CPE, FACOG and Susan Kendig, JD, WHNP-BC, FAANP

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Presentation of the Prevention of Surgical Site Infections Following Major Gynecologic Surgery Patient Safety Bundle

February 8, 2016

Presenters: Barbara Levy, MD, FACOG, FACS and Joseph Pellegrini, PhD, CRNA

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January 2016

Coordinating Inpatient and Community Resources for Patient, Family and Staff After a Severe Maternal Event

January 25, 2016

Presenters: Aimee Danielson, PhD and Camille Hoffman, MD, MSCS, FACOG

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December 2015

Empowering Patients, Improving Outcomes: Maternal Mental Health

December 14, 2015

Presenters: Lisa Kay, MSW, Lynne McIntyre, MSW and Katherine Stone

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Presentation of Maternal Venous Thromboembolism Prevention Patient Safety Bundle

December 3, 2015

Presenters: Alexander Friedman, MD, MPH, FACOG and Douglas Montgomery, MD, FACOG

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November 2015

Presentation of Patient, Family, and Staff Support Following a Severe Maternal Event Patient Safety Bundle

November 23, 2015

Presenters: Cynthia Chazotte, MD, FACOG, Christine Morton, PhD, Miranda Klassen

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October 2015

National Improvement Challenge: Obstetric Hemorrhage Winning QI Programs

October 28, 2015

Presenters: Rebecca Feldman, MD, Sindhu K. Srinivas, MD, MSCE, FACOG, Erin Clark, MD, FACOG, Rachael Bailey, DO, Laurie P. Erickson, MD, FACOG, Susan Garpiel, RN, MSN, C-EFM, Gerald Girardi, MD, FACOG

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Presentation of Safe Reduction of Primary Cesarean Births Bundle

October 14, 2015

Presenters: David Lagrew, MD, FACOG and Lisa Kane Low, PhD, CNM, FACNM, FAAN

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September 2015

Conducting Drills for Hypertension in Pregnancy

September 17, 2015

Presenters: Kristin Atkins, MD, FACOG, Jenifer Fahey, CNM, MSN, MPH

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August 2015

Using the Revised Severe Maternal Morbidity Review Forms

August 20, 2015

Presenters: Fouad Atallah, MD, FACOG, Sarah Kilpatrick, MD, PhD, FACOG, and Sandra McCalla, MD, FACOG

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July 2015

Blood Pressure Basics

July 17, 2015

Presenters: John Barton, MD and Nancy Peterson, MSN, RNC-OB, PNNP, IBCLC

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June 2015

Presentation of Hypertension Patient Safety Bundle

June 26, 2015

Presenters: Peter Bernstein, MD, MPH and Jennifer Frost, MD

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May 2015

Empowering Patients, Improving Outcomes: Hypertension

May 20, 2015

Presenters: Ileana Balcu, Todd Heiden, and Eleni Tsigas

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April 2015

Accelerating Adoption of a Patient Safety Culture

April 22, 2015

Presenters: Karen Harris, MD, MPH, FACOG; John Keats, MD, CPE, FACOG, FACPE; Lashea Wattie, RNC, C-EFM, BSN, M.Ed

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March 2015

Data Collection and Measurement Issues

March 16, 2015

Presenters: Elliot Main, MD, FACOG and William Sappenfield, MD, MPH

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February 2015

Connected Regional Projects

February 18, 2015

Presenters: Debra Bingham, DrPH, RN, FAAN, Cynthia Chazotte, MD, Keisher Highsmith, DrPH, Donna Montalto, MPP

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January 2015

Changes to the Joint Commission Sentinel Events Chapter – Focus on Severe Maternal Morbidity

January 29, 2015

Speaker Panel: Erin DuPree, MD, FACOG; John Wachtel, MD, FACOG; Ron Wyatt, MD, MHA, DMS (HON); Supporting Panelists: Lisa Buczkowski, RN, MS; Gerry Castro, PhD, MPH

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December 2014

End of Year Review: Obstetric Hemorrhage

December 10, 2014

Presenters: Richard Berkowitz, MD, FACOG Lisa Kane Low, PhD, CNM, FACNM, FAAN Barbara Scavone, MD

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November 2014

Conducting Obstetric Hemorrhage Drills

November 18, 2014

Presenters: Tamika Auguste, MD, FACOG and Mary Calabrese, MSN, RN

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October 2014

Patient, Family, and Staff Support After a Severe Maternal Event

October 14, 2014

Presenters: Cynthia Chazotte, MD, FACOG and Christine Morton, PhD

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September 2014

Presentation of Obstetric Hemorrhage Patient Safety Bundle

September 23, 2014

Presenters: Dena Goffman, MD FACOG and Elliott Main, MD, FACOG

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August 2014

Quantifying Blood Loss

August 28, 2014

Presenters: Renee Byfield, MS, RN, FNP, C-EFM and David Lagrew, MD, FACOG

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July 2014

Maternal Early Warning Criteria Overview

July 17, 2014

Presenters: Robyn D'Oria, MA, RNC, APN and Jill Mhyre, MD

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June 2014

Defining Severe Maternal Morbidity (SMM)

June 19, 2014

Presenters: Bill Callaghan, MD, MPH, FACOG and Sarah Kilpatrick, MD, PhD, FACOG

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May 2014

Overview of the National Partnership for Maternal Safety

May 20, 2014

Presenters: Debra Bingham, RN, DrPH and Mary D’Alton, MD, FACOG

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