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Maryland Patient Safety Center

loretta-marinel avatar
loretta-marinel
11 diapositives · 243 Views · Nov 15, 2014

The Maryland Patient Safety Center (MPSC) focuses on reducing risks and readmissions for mothers and newborns through comprehensive risk assessment tools. These tools aid healthcare providers in identifying potential postpartum challenges before discharge, addressing maternal and newborn risks such as high-risk medications, low Apgar scores, and various medical conditions. The MPSC further emphasizes the importance of timely referrals for follow-up care, ensuring that mothers and infants receive appropriate support. The initiative aims to lower readmission rates and improve overall healthcare outcomes.

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Maryland Patient Safety Center
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  1. Maryland Patient Safety Center 3Rs: Risks, Referrals and Readmissions

  2. Maternal and Newborn Risks Risks are predictors of post partum adjustments for both mothers and newborns. The MPSC Perinatal & Neonatal Learning Networks developed maternal and newborn risk assessment tools to assist the healthcare provider in screening for these risks/predictors prior to discharge.

  3. Maternal and Newborn Risks Maternal Risks Prescribed high risk medications Medical Risks Pregnancy Related Risks

  4. Maternal and Newborn Risks Newborn Risks Apgar scores <4 at 5 min Birth defect/Genetic syndrome <1500 gm Congenital Infection Late Preterm 34-36 6/7 weeks Prematurity <34 weeks Hearing risk/failed hearing Medical condition

  5. Maternal and Newborn Risks Newborn Risks (cont.) Neurological condition Metabolic disorder Positive toxicology Weight loss >10% at discharge ROP, IVH/PVL Gastroesophageal Reflux Failed CCHD Screen without confirmatory echo Hyberbilirubinemia Feeding Problems History of psychosocial stressors Hospital Stay <5 days

  6. Maternal and Newborn Referrals Maternal OB/GYN-early post-discharge evaluation PMD Appropriate Outpatient Follow-Up Home visits WIC Local Health Department

  7. Maternal and Newborn Referrals Newborn Pediatrician/HCP-early post-discharge evaluation Appropriate Outpatient Follow-Up Home visits WIC Local Health Department

  8. Maternal and Newborn Referrals A special word about Local Health Department Referrals http://phpa.dhmh.maryland.gov/mch/SitePages/postpartum-referral.aspx Guidelines Low birth weight birth ( <1500 gm)NICU admissionTeen motherNo prenatal careMaternal substance abusePrevious infant deathAny other circumstance deemed to be a risk for mother or infant

  9. Maternal and Newborn Readmissions <30 Days CMS Hospital Readmission Reduction Program Penalizes hospitals for “greater than expected” readmission rates.

  10. Maternal and Newborn Readmissions <30 Days Nationally (AHRQ 2011) Maternal- 4% Newborns- 5% http://www.medicaiddirectors.org/sites/medicaiddirectors.org/files/public/clinical_policy_1.pdf

  11. QUESTIONS? See your Perinatal or Neonatal Team Lead OR Contact Bonnie DiPietro, RN, MS, Director of Operations, MPSC at: bdipietro@marylandpatientsafety.org 410-540-5095