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Reducing preventable harm during childbirth can depend on how quickly risk is recognized and how consistently teams respond. This solution embeds postpartum hemorrhage (PPH) risk assessment, decision support and standardized response pathways directly into obstetric workflows, helping care teams act earlier and more reliably.
Postpartum hemorrhage is one of the most common and preventable causes of maternal morbidity. When prevention and response are embedded into everyday workflows, teams can coordinate more effectively and reduce variation – ultimately improving outcomes for patients and care teams.
Automated risk identification: Dynamic PPH risk scoring updates throughout labor and delivery using patient data and clinical events to support early recognition.
Embedded clinical guidance: Context-specific prompts and standardized response pathways activate evidence-based orders and escalation protocols within obstetric workflows.
Quantitative blood loss tracking: Integrated tools support accurate, real-time measurement and documentation to strengthen timely intervention.
Performance monitoring and improvement: Dashboards and reports surface trends, variation and outcomes to support continuous quality improvement.
WakeMed Health & Hospitals, a leading, multi-hospital system in North Carolina with nearly 10,000 births annually, implemented an EHR-embedded postpartum hemorrhage toolkit to strengthen early risk recognition and standardize response across its obstetric units.
The approach integrated automated PPH risk assessment, quantitative blood loss tracking and guided response pathways directly into everyday workflows. This helped care teams identify risks earlier, escalate more consistently and coordinate responses more effectively across disciplines and shifts.
Since implementation in 2022, WakeMed has seen sustained reductions in obstetric hemorrhage, fewer severe PPH events and stronger alignment around standardized, team-based response across three hospitals. The experience demonstrates how embedding obstetric safety tools into routine workflows can drive reliable improvement without adding complexity.
This approach is designed to operate within EHR environments widely used across U.S. hospitals, making it adaptable for organizations of different sizes and structures.
By embedding PPH prevention and response into existing systems rather than relying on standalone tools, hospitals can scale adoption across units and facilities without adding new platforms or duplicative documentation. The model also supports regional and systemwide alignment, enabling consistent maternal safety practices across sites.
Hospitals using EHR-embedded PPH pathways have reported:
The value of the toolkit lies in its ability to make best practices easier to execute, especially during high-stress clinical scenarios.
This solution is applicable to:
Hospitals and health systems seeking to reduce maternal morbidity through standardized, EHR-embedded PPH workflows
Hospitals integrating automated risk scoring, quantitative blood loss tracking and response prompts into obstetric care
Organizations strengthening maternal early-warning systems and reducing variation in care delivery
Obstetric units and regional collaboratives advancing coordinated, team-based PPH response and preparedness
The future of care will be shaped by how quickly proven technologies are adopted and scaled. Join leaders across the country who are committed to translating innovation into reliable, systemwide improvement.