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Prevention Strategies Gap Analysis Reduce OB Harm - Pre-eclampsia Specific Action(s) Gap Analysis Questions Yes No Risk Identification 1. Implement standardized warning systems to identify high risk patients 1a) Implements a tool with evidence-based triggers for the diagnosis and treatment of severe eclampsia 1b) Uses standardized language to the severity of preeclampsia and fetal heart tracings when communicating among the treatment team . Standardize Readiness for Obstetric Emergencies 2. Implements a standardized care delivery system 2a) Has emergency supplies and medications readily available through the use of magnesium carts or kits. 2b) Keeps a medication toolkit at the medication station. 2c) Uses policy and protocol examples, bundles, educational materials and data collection materials from organizations such as CMQCC and other state and national agencies. 2d) in collaboration with physicians and nursing, has developed a protocol for response to severe preeclampsia using evidence-based example such as the severe pre-eclampsia toolkit from www.CMQCC.org 3. Implement and test standardized 3a) Conducts regular, simulated drills with physicians and nursing to practice response to obstetric emergencies. If answered question “No”-Identify the Specific Action plan(s) including persons responsible and timeline to complete protocols for obstetric emergencies. 3b) Conducts a thorough debriefing after each real and simulated event to identify areas for improvement. 3c) Allows all team members the opportunity to speak and offer suggestions during the debriefing Specific Action(s) Gap Analysis Questions Patient and Family Engagement 4. Patient and Family Involvement 4a) Fosters a culture that allows patient and family involvement in the plan-of-care. 4b) Educates patient and family on signs and symptoms of pre-eclamsia. Yes No If answered question “No”Identify the Specific Action plan(s) including persons responsible and timeline to complete