Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.

Kathleen M. Zacherl; Emily Carper Sterrett; Brenna L. Hughes; Karley M Whelan; James Tyler-Walker; Samuel T Bauer; Heather C Talley; Laura J Havrilesky

Study

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.

May 29, 2024

Zacherl KM, Sterrett EC, Hughes BL, et al. BMJ Qual Saf. 2024;33(6):396-405.

View more articles from the same authors.

Pregnant patients with hypertensive disorders are at increased risk of further complications. In this quality improvement project, a multi-component intervention including remote blood pressure monitoring was found to increase the rate of completed postpartum blood pressure checks among individuals with hypertensive disorders of pregnancy.

PubMed citation

Available at

Related Resources From the Same Author(s)

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.

October 11, 2023

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Priorities for pediatric patient safety research.

February 13, 2019

Quality and safety implications of emergency department information systems.

July 17, 2013

Readiness of US general surgery residents for independent practice.

October 4, 2017

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

Improving handoffs in the emergency department.

October 28, 2009

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.

February 7, 2024

Operational failures detected by frontline acute care nurses.

March 29, 2017

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes.

May 16, 2018

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

August 25, 2010

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

Procedural safety in emergency care: a conceptual model and recommendations.

October 24, 2012

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.

September 23, 2015

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

November 16, 2011

Self-reported violations during medication administration in two paediatric hospitals.

May 16, 2012

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Preventing home medication administration errors.

March 14, 2022

Bedside shift-to-shift handoffs: a systematic review of the literature.

August 26, 2015

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia.

July 9, 2014

A comprehensive departmental care review model: requirements, structure, and flow.

June 30, 2021

Increasing physician reporting of diagnostic learning opportunities.

December 23, 2020

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.

February 15, 2023

Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.

November 22, 2017

Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations.

February 1, 2023

Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table.

May 3, 2023

Racial implicit bias and communication among physicians in a simulated environment.

April 3, 2024

Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare.

September 5, 2018

Evaluation of communication and safety behaviors during hospital-wide code response simulation.

March 2, 2022

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

December 1, 2010

Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Exploring barriers and facilitators to the use of computerized clinical reminders.

April 21, 2005

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Near misses and unsafe conditions reported in a Pediatric Emergency Research Network.

September 23, 2015

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

Pharmacovigilance using clinical notes.

May 1, 2013

Influence of socioeconomic bias on emergency medicine resident decision making and patient care.

August 19, 2020

Applying trigger tools to detect adverse events associated with outpatient surgery.

March 16, 2011

Liability claims and costs before and after implementation of a medical error disclosure program.

August 25, 2010

The impact of racism on child and adolescent health.

July 1, 2019

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Improving care transitions: current practice and future opportunities for pharmacists.

December 5, 2012

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration.

January 14, 2015

Patient safety in the office-based setting.

April 19, 2006

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.

April 9, 2008

Advancing the science of patient safety.

May 25, 2011

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Structural racism in behavioral health presentation and management.

May 17, 2023

Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics.

June 7, 2023

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study.

May 8, 2024

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Body of evidence: do autopsy findings impact medical malpractice claim outcomes?

April 29, 2020

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.

July 19, 2023

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Assessment of physician sleep and wellness, burnout, and clinically significant medical errors.

January 13, 2021

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

Artificial intelligence and surgical decision-making.

March 11, 2020

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.

June 3, 2015

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.

February 12, 2020

Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.

March 6, 2005

Anticoagulation-associated adverse drug events in hospitalized patients across two time periods.

July 26, 2023

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

November 28, 2012

ICU nurses' acceptance of electronic health records.

July 13, 2011

Diagnostic errors in primary care pediatrics: Project RedDE.

November 29, 2017

Primary care pediatricians' interest in diagnostic error reduction.

July 20, 2016

A survey of the use of time-out protocols in emergency medicine.

May 25, 2011

Computerized surveillance for adverse drug events in a pediatric hospital.

October 7, 2009

Optimizing the use of dose error reduction software on intravenous infusion pumps.

July 10, 2024

Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.

February 18, 2015

Using a network organisational architecture to support the development of Learning Healthcare Systems.

February 21, 2018

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.

August 1, 2018

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

January 30, 2005

Intervention to reduce transmission of resistant bacteria in intensive care.

February 1, 2012

Sleep deprivation and error in nurses who work the night shift.

February 19, 2014

We want to know: patient comfort speaking up about breakdowns in care and patient experience.

October 17, 2018

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.

November 15, 2017

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.

July 31, 2019

Clinical clerkship students' perceptions of (un)safe transitions for every patient.

May 14, 2014

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.

March 27, 2019

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

March 30, 2011

Related Resources

Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study.

June 19, 2024

Undiagnosed cancer cases in the US during the first 10 months of the COVID-19 pandemic.

May 22, 2024

Delivery at an inadequate level of maternal care is associated with severe maternal morbidity.

May 15, 2024

Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders.

May 8, 2024

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States.

April 17, 2024

A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.

February 21, 2024

Communication and birth experiences among Black birthing people who experienced preterm birth.

February 14, 2024

The intersection of traumatic childbirth and obstetric racism: a qualitative study.

February 7, 2024

Mistreatment in health care among women in Appalachia.

January 24, 2024

A combined assessment tool of teamwork, communication, and workload in hospital procedural units.

January 17, 2024

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.

January 17, 2024

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature.

December 6, 2023

Team experiences of the root cause analysis process after a sentinel event: a qualitative case study.

November 29, 2023

Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief.

November 15, 2023

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care.

October 11, 2023

Vital signs: maternity care experiences — United States, April 2023.

September 6, 2023

‘The Retrievals’ reveals painful experiences of female patients are often ignored.

September 6, 2023

When the lights go down in the delivery room: lessons from a ransomware attack.

September 6, 2023

Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis.

September 6, 2023

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units.

September 6, 2023

WebM&M Cases

Prolonged DKA in Pregnancy: A Case of Communication Breakdown.

August 30, 2023

Quality and safety practices among academic obstetrics and gynecology departments.

August 30, 2023

Amid lack of accountability for bias in maternity care, a California family seeks justice.

August 16, 2023

Toolkits To Reduce Hypertension in Pregnancy and Obstetric Hemorrhage.

August 16, 2023

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports.

August 9, 2023

Advancing Diagnostic Excellence in Maternal Health Care.

July 27, 2023 - July 27, 2023

Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.

July 26, 2023

A national analysis of ED presentations for early pregnancy and complications: implications for post-Roe America.

July 19, 2023

Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021.

July 12, 2023

‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.

July 5, 2023

See More About The Topic

Hospitals

Ambulatory Clinic or Office

Obstetrics

Obstetrical Nursing

Medical Complications

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site