Florida’s Obstetric Hemorrhage Initiative Featured on National Education Series


The Florida Perinatal Quality Collaborative’s Obstetric Hemorrhage Initiative (OHI) was featured on a live national webcast on June 19, 2014 as part of the Partnership for Patients Education Series. The program, “Improving Maternal Outcomes of Obstetric Hemorrhage,” provided an overview of current trends in OB hemorrhage and showcased the Florida OHI toolkit.

Dr. Karen Harris, national women’s health subject matter expert for VHA Inc., the Florida Perinatal Quality Collaborative (FPQC) and the American Congress of Obstetricians and Gynecologists (ACOG), discussed the 9 key elements of the OHI:

  1. Develop an Obstetric Hemorrhage Protocol
  2. Develop a Massive Transfusion Protocol
  3. Antepartum Risk Assessment
  4. Active Management of the Third Stage of Labor
  5. Quantification of Blood Loss
  6. Construct an OB Hemorrhage Cart
  7. Ensure Availability of Medications and Equipment
  8. Perform Interdisciplinary Hemorrhage Drills
  9. Debrief after OB Hemorrhage Events

The video highlighted Baptist Hospital of Miami’s work on each of the elements, including segments of a real hemorrhage simulation drill and debrief session. Jason James, MD, Chairman, Department of OBGYN, explained the hospital teams are benefiting greatly from simulation drills. “We’re developing team training, communication skills, putting people into high risk situations where they’re learning how to work as a team,” he said.

VHA webcast

Katia Magalie Apollon, MD, Vice Chief, Department of OBGYN, said of the clinical staff at Baptist Hospital of Miami, “The difference I’ve seen, since we’ve instituted the maternal hemorrhage plan, is that people are more comfortable handling the hemorrhage. There’s less panic because we have a plan. And if you don’t remember, you’ve got your checklist. And everyone is on the same mental page. So when we have a hemorrhage, we all pull together, assign roles, and know how to manage it.”


Dr. Harris noted, “It’s a lot of work, but they are each working well to implement each of the elements, and they’re beginning to see some progress, which is very rewarding.”

The recorded program can be viewed online at this link.