Automated Alert System of Second-Line Uterotonic Drug Administration

Gillian Abir; Edward T Riley; Ann Marie Oakeson; Amy Judy; Ellen Wang; Brendan Carvalho

doi:10.1213/XAA.0000000000001687

Automated Alert System of Second-Line Uterotonic Drug Administration

A A Pract. 2023 May 23;17(5):e01687. doi: 10.1213/XAA.0000000000001687. eCollection 2023 May 1.

Authors

Gillian Abir¹, Edward T Riley¹, Ann Marie Oakeson², Amy Judy³, Ellen Wang¹, Brendan Carvalho¹

Affiliations

¹ From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.
² Information Services, Lucile Packard Children's Hospital, Stanford, California (Retired).
³ Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.

PMID: 37222414
DOI: 10.1213/XAA.0000000000001687

Abstract

Multidisciplinary team management of postpartum hemorrhage (PPH) is needed to optimize care and improve outcomes. Lucile Packard Children's Hospital, Stanford, is a tertiary referral center with 4600 deliveries/y (>70% high-risk deliveries), and there have been times when the obstetric anesthesia team was alerted late or not at all for PPHs. Introduction of an automated alert process to the obstetric anesthesia team when a second-line uterotonic drug was administered has ensured prompt evaluation. Utilization of this automated drug alert system has improved communication and reduced failure to inform the obstetric anesthesiology team of PPH after vaginal and cesarean deliveries.

MeSH terms

Anesthesia, Obstetrical*
Cesarean Section
Child
Communication
Female
Humans
Postpartum Hemorrhage*
Pregnancy