Updated: Aug 28, 2018
Nurses please don't forget to continue to encourage your patients to go to www.gothefull40.com . This will link them to Awhonn's reparable website on evidence-based positive messages about waiting until their baby is ready for delivery.
We Can Change This: Role in Maternal Mortality see www.safehealthcareforeverywomen.com for more detailed information!
For the Patient Safety Bundle on Reduction of Peripartum Racial/Ethnic Disparities click https://safehealthcareforeverywoman.org/patient-safety-bundles/reduction-of-peripartum-racialethnic-disparities/
Every Health System
Establish systems to accurately document self-identified race, ethnicity, and primary language.
Provide system-wide staff education and training on how to ask demographic intake questions.
Ensure that patients understand why race, ethnicity, and language data are being collected.
Ensure that race, ethnicity, and language data are accessible in the electronic medical record.
Evaluate non-English language proficiency (e.g. Spanish proficiency) for providers who communicate with patients in languages other than English.
Educate all staff (e.g. inpatient, outpatient, community-based) on interpreter services available within the healthcare system. Provide staff-wide education on:
Peripartum racial and ethnic disparities and their root causes.
Best practices for shared decision making.
Engage diverse patient, family, and community advocates who can represent important community partnerships on quality and safety leadership teams.
Every patient, family, and staff member
Provide staff-wide education on implicit bias.
Provide convenient access to health records without delay (paper or electronic), at minimal to no fee to the maternal patient, in a clear and simple format that summarizes information most pertinent to perinatal care and wellness.
Establish a mechanism for patients, families, and staff to report inequitable care and episodes of miscommunication or disrespect.
Every Clinical Encounter
Engage in best practices for shared decision making.
Ensure a timely and tailored response to each report of inequity or disrespect.
Address reproductive life plan and contraceptive options not only during or immediately after pregnancy, but at regular intervals throughout a woman’s reproductive life.
Establish discharge navigation and coordination systems post childbirth to ensure that women have appropriate follow-up care and understand when it is necessary to return to their health care provider.
Provide discharge instructions that include information about what danger or warning signs to look out for, whom to call, and where to go if they have a question or concern.