Automated Alert System of Second-Line Uterotonic Drug Administration

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.

Automated summary

Multidisciplinary team management is crucial for optimizing postpartum hemorrhage care. Lucile Packard Children's Hospital, Stanford, has implemented an automated alert system to ensure prompt evaluation by the obstetric anesthesia team when a second-line uterotonic drug is administered. This system has improved communication and reduced failure to inform the obstetric anesthesiology team of PPH after vaginal and cesarean deliveries.