reponse to professor below Hi This is a great area to focus on and does meet t
reponse to professor below Hi This is a great area to focus on and does meet the ARHQ’s quality improvement indicator initiatives. Remember, you are not necessarily conducting a research study, and your project is a quality improvement focus that needs to evaluate data to ensure that your improvement project is reliable. Many practices have already transitioned from Estimated Blood Loss (EBL) to the Quantified Blood Loss (QBL)realm because there is strong evidence that most practitioners do not estimate blood loss well. How will you spin this into a QI project, not just a research project? Who on the unit will be the team you collaborate with? Best, Dr. Johnson The American College of Obstetrics and Gynecologist. (2019). Quantitative blood loss in obstetric hemorrhage. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/12/quantitative-blood-loss-in-obstetric-hemorrhage (Links to an external site.) Reply intial post Professor and class, Advanced Practice Nurse as a Leader of Intra-professional Teams Postpartum hemorrhage involves too much blood loss in women after the birth of a child. Globally, close to 4% of females have the condition, and it is prone to occur with a cesarean delivery. During vaginal delivery, the quantity of blood lost after the birth of one child is about 500 milliliters. However, the typical volume of blood loss in cesarean births is about 1000 milliliters (Children's Wisconsin, n.d.). In this discussion, my practice problem idea involves comparing the implementation of quantitative blood loss versus estimated blood loss in the operation room for cesarean birth. In healthcare, visual estimation of blood loss after the delivery of a child usually under-reports the actual amount of blood lost by women. To improve the accuracy, quantitative blood loss measurement was developed and implemented in maternity care. On the other hand, estimated blood loss in postpartum hemorrhage is notorious to be indefinite, with high percentages of underestimation in the event of increased blood loss. Considering various signs and indicators such as hypotension does not usually occur until blood loss is extensive, the process of underestimating blood loss plays a leading role in the lack of appropriate determination and reaction to loss of blood during childbirth. Healthcare establishments and leading organizations around the world recommend quantitative blood loss for every birth for early detection of blood loss hence facilitating timely interventions (Blosser et al., 2021). Cumulative evidence has shown that quantitative blood loss is more exact paralleled to estimated blood loss in cesarean births. However, quantitative blood loss has also seen its fair share of criticism since it is takes a lot of time and resources. Furthermore, in spite of recommendations to use quantitative blood loss, numerous healthcare establishments still use estimated blood loss because of the cost and time used in teaching personnel and implementing it in a quantitative valuation. Application of Interprofessional Collaboration In modern times, healthcare is a team sport for the benefit of patients. Interprofessional collaboration in healthcare involves multiple personnel of different professions working together to deliver the best quality of care to patients. Furthermore, this collaboration is more than just sharing information between nurses and physicians (Schot et al., 2020). I can use this collaboration to implement a practice change by filling gaps in healthcare. One of these gaps involves medical errors through misdiagnosis and missed symptoms. Globally, thousands of people die every year because of such errors which could have been avoided. Another way I can use interprofessional collaboration in healthcare is to develop a model that boosts the cooperation among professionals to achieve quality care for patients. Such models in healthcare will only have an impact if everybody is on board. Additionally, I would use interprofessional to implement changes such as the introduction of new technologies, for example, electronic health records, to improve coordination of patient care. Electronic health records allow for easy monitoring of patients and reduce incidences of medical errors, which can lead to severe impacts on patients. Interprofessional collaboration also allows for a collective campaign toward implementing policies that promote safe and quality care (Pomare et al., 2020). One can also use this form of collaboration to drive change and promote new policies to bring changes in healthcare. References Blosser, C., Smith, A., & Poole, A. T. (2021). Quantification of Blood Loss Improves Detection of Postpartum Hemorrhage and Accuracy of Postpartum Hemorrhage Rates: A Retrospective Cohort Study. Cureus, 13(2), e13591. https://doi.org/10.7759/cureus.13591 Children's Wisconsin. (n.d.). Postpartum hemorrhage. https://childrenswi.org/medical-care/fetal-concerns-center/conditions/pregnancy-complications/postpartum-hemorrhage Pomare, C., Long, J. C., Churruca, K., Ellis, L. A., & Braithwaite, J. (2020). Interprofessional collaboration in hospitals: a critical, broad-based review of the literature. Journal of interprofessional care, 34(4), 509-519. https://doi.org/10.1080/13561820.2019.1702515 Schot, E., Tummers, L., & Noordegraaf, M. (2020). Working on working together. A systematic review on how healthcare professionals contribute to interprofessional collaboration. Journal of interprofessional care, 34(3), 332-342. https://doi.org/10.1080/13561820.2019.1636007

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