One of the structure processes the Alliance for Innovation on Maternal Health hopes all teams will achieve is to integrate some of the recommended OB hemorrhage bundle processes (ie. order sets, tracking tools) into their hospita's electronic health record system. The team at WakeMed Health and Hospitals has far exceeded this goal by creating a postpartum hemorrhage (PPH) narrator tool in their electronic medical record-EPIC.
The narrator enables the nurse to link multiple flowsheets from one tab in the electronic record. Being able to access critical orders sets, chart medications or document vital signs rapidly, enables prompt responses to occur seamlessly. The PPH narrator also creates a timeline of all events that have occurred from event start time to medication administration to staff arrivals, vital signs and more. (see screenshot below) The work WakeMed has done on this documentation tool in collaboration with their IT department is commendable. It has not only improved care for mothers at their facilities, this work has spread across the state as other health systems are looking to adopt this tool in their effort to decrease maternal morbidity and mortality.
