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Implementation of the NPMS Obstetric Hemorrhage Bundle at a Tertiary Center: Utilization of the Delphi Method

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ClinicalTrials.gov Identifier: NCT03018119
Recruitment Status : Completed
First Posted : January 11, 2017
Last Update Posted : January 11, 2017
Sponsor:
Information provided by (Responsible Party):
Annemaria De Tina, Brigham and Women's Hospital

Brief Summary:
The National Partnership for Maternal Safety (NPMS) developed an obstetric hemorrhage consensus bundle to provide every United States birthing facility consistent, validated practice guidelines. To facilitate implementation of each element of this bundle at the participants large tertiary center, the investigators utilized the Delphi method to identify deficiencies, perceived barriers to implementation, and multidisciplinary consensus on changes with high feasibility and impact on patient care.

Condition or disease Intervention/treatment Phase
Pregnancy Hemorrhage Postpartum Hemorrhage Other: Survey Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 38 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Implementation of the National Partnership for Maternal Safety Obstetric Hemorrhage Bundle at a Tertiary Center: Utilization of the Delphi Method
Study Start Date : November 2015
Actual Primary Completion Date : April 2016
Actual Study Completion Date : April 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bleeding

Arm Intervention/treatment
Active Comparator: Anesthesiologists
Total: 11 Intervention: Survey
Other: Survey
Active Comparator: Obstetricians
Total: 11 Intervention: Survey
Other: Survey
Active Comparator: Registered Nurses
Total: 10 Intervention: Survey
Other: Survey
Active Comparator: Surgical Technicians
Total: 6 Intervention: Survey
Other: Survey



Primary Outcome Measures :
  1. Questionnaire of Obstetric Hemorrhage Bundle Components not Currently Adequately Implemented [ Time Frame: 4 weeks ]

Secondary Outcome Measures :
  1. Questionnaire of Perceived Barriers to Implementation of Obstetric Hemorrhage Bundle Components [ Time Frame: 4 weeks ]
  2. Questionnaire of Feasibility of Implementation of Obstetric Hemorrhage Bundle Components [ Time Frame: 6 months ]
  3. Questionnaire on Impact of Implementation of Obstetric Hemorrhage Bundle Components on Patient Care [ Time Frame: 6 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • ≥ five years of experience on the L&D unit
  • current employment on the L&D unit > 20h per week
  • prior involvement in clinical obstetric hemorrhage situations

Exclusion Criteria:

  • none

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03018119


Locations
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United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Brigham and Women's Hospital
Investigators
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Principal Investigator: Michaela Farber, MD, MS Brigham and Women's Hospital

Publications:
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Responsible Party: Annemaria De Tina, Clinical Fellow - Obstetric Anesthesia, Brigham and Women's Hospital
ClinicalTrials.gov Identifier: NCT03018119     History of Changes
Other Study ID Numbers: 2015P002403
First Posted: January 11, 2017    Key Record Dates
Last Update Posted: January 11, 2017
Last Verified: January 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
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Hemorrhage
Postpartum Hemorrhage
Pathologic Processes
Obstetric Labor Complications
Pregnancy Complications
Puerperal Disorders
Uterine Hemorrhage