Minnesota hospital reduces postpartum hemorrhages 40% after retooling EHR

Robbinsdale, Minn.-based North Memorial Hospital used an EHR to create a screening tool that would predict, identify and guide postpartum hemorrhages, resulting in a 40 percent reduction, according to a Jan. 10 report in EpicShare.

North Memorial's clinical practice committee analyzed data to determine which patients were at "high-risk" of hemorrhaging. The committee found that high-risk pregnancy didn't always equate to hemorrhaging. 

The committee then created a screening tool within Epic's EHR system that would calculate a patient's risk based on:

  •  What type of birth it is: vaginal or C-sections, as C-sections have higher rates of hemorrhaging.

  • Where the placenta is: Placenta previa, or low-lying placenta, increases hemorrhage risk.

  • Hemoglobin measurements, or a low hematocrit measurement.

  • Any pre-existing conditions such as obesity or a bleeding disorder. 

North Memorial  also used Epic to create a quantitative blood loss calculator to improve response time for hemorrhages.

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