Download OB Pre-Eclampsia - Gap Analysis

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