- Downloadable PDF of the bundle
- Complete resource listing
- Supplemental resource listing
- Safety Action Series presentation
- Supporting Commentary and Other News
Every Clinical Care Setting
- Identify mental health screening tools to be made available in every clinical setting (outpatient OB clinics and inpatient facilities).
- Establish a response protocol and identify screening tools for use based on local resources.
- Educate clinicians and office staff on use of the identified screening tools and response protocol.
- Identify an individual who is responsible for driving adoption of the identified screening tools and response protocol.
- Clinical Report – Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice (AAFP)
- Edinburgh Postnatal Depression Scale via Perinatal Depression Screening: Tools for Obstetrician Gynecologists
- Perinatal Depression Screening: Tools for Obstetrician Gynecologists (ACOG District II) (ACOG Members Only)
- PRIME-MD Patient Health Questionnaire (PHQ-9) Video Demonstration (IMPACT)
- PRIME-MD Patient Health Questionnaire (PHQ-9) with instructions via STABLE National Coordinating Council Resource Toolkit
- Support and Training to Enhance Primary Care for Postpartum Depression (STEP-PPD)
- Validity and utility of the PRIME-MD Patient Health Questionnaire in assessment of 3000 obstetric-gynecologic patients: The PRIME-MD Patient Health Questionnaire Obstetrics-Gynecology Study
- Obtain individual and family mental health history (including past and current medications) at intake, with review and update as needed.
- Conduct validated mental health screening during appropriately timed patient encounters, to include both during pregnancy and in the postpartum period.
- Provide appropriately timed perinatal depression and anxiety awareness education to women and family members or other support persons.
- Initiate a stage-based response protocol for a positive mental health screen.
- Activate an emergency referral protocol for women with suicidal/homicidal ideation or psychosis.
- Provide appropriate and timely support for women, as well as family members and staff, as needed.
- Obtain follow-up from mental health providers on women referred for treatment. This should include the necessary release of information forms.
- Local Resources (Postpartum Progress)
- Local Treatment Resources (Postpartum Support International)
- Patient, Family, and Staff Support after a Severe Maternal Event Patient Safety Bundle (Council on Patient Safety in Women’s Health Care)
- Proposed Screening Algorithm
- Warmline (Postpartum Support International)
Every Clinical Care Setting
- Establish a non-judgmental culture of safety through multidisciplinary mental health rounds.
- Perform a multidisciplinary review of adverse mental health outcomes.
- Establish local standards for recognition and response in order to measure compliance, understand individual performance, and track outcomes.
- Develop a Culture of Safety (Institute for Healthcare Improvement)
- Essential Elements of Effective Integrated Primary Care and Behavioral Health Teams (SAMHSA-HRSA Center for Integrated Health Solutions)
- HEDIS Depression Measures Specified for Electronic Clinical Data.
- Multidisciplinary Rounds (Institute for Healthcare Improvement)
- U.S. Preventive Services Task Force. Depression in Adults: Screening (USPSTF)
© 2016 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: Transition From Maternity to Well-Woman Care (+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