Postpartum hemorrhage (PPH) is the most common problem in pregnancy, and is the leading cause of severe maternal morbidity and preventable mortality. However, estimates show that 54% to 93% of these hemorrhage-related deaths are preventable (Bingham & Jones, 2012). This prevention is only possible through constant readiness, clear guidelines, and effective emergency response, as 20% of hemorrhages occur in women with no risk factors at all (The Joint Commission, 2019).

Our APSS outline actionable steps healthcare organizations should take to successfully implement and sustain behavior change for high reliability, shared understanding, thorough communication, and meaningful person-centered care across the organization.

Actionable steps include:

• Executive Summary Checklist
• Leadership checklist guide to determine whether current evidence-based guidelines are being followed in your organization
• Performance improvement plan to follow if improvements are necessary
• Clinical workflow for preoccupation with workflow for areas of improvement
• How to educate patients and family members about the significance of their role throughout the continuum
• Guidance on how to measure outcomes