Postpartum Hemorrhage (PPH) Bundle Campaign

• Partner: Women and Infant Clinical Community/Women's Health Clinical Management Team
• Need: A standardized process for identification and treatment of PPH.
• Knowledge Product/Practice: A Defense Health Agency Procedural Instruction (DHA-PI) standardized a clinical framework for PPH prevention and treatment and served as the basis for the PPH Bundle Campaign.
• Process: Supported implementation of the DHA-PI at 12 military hospitals and clinics through the identification of local champions, hosting of peer-to-peer workgroups, development of educational materials, and tracking of compliance data.
• Results: Campaign exceeded its target compliance rate of 80% by achieving 97% compliance overall. The bundle is now being implemented at all remaining military hospitals and clinics with inpatient obstetric services.

Opioid Overdose Education and Naloxone Distribution (OEND) Program

• Partner: Defense and Veterans Center for Integrative Pain Management
• Need: Increase co-prescriptions of naloxone to improve patient safety.
• Knowledge Product/Practice: Provide OEND training via sustainable, scalable model.
• Process: Refined VA OEND training for MHS population; drafted key messaging for dissemination campaign; provided OEND training to interdisciplinary group at pilot site; embedded training in TeleECHO and annual pharmacy trainings; and utilized train-the-trainer model of implementation.
• Results: 11% increase in naloxone co-prescriptions at pilot site following training implementation.

Damage Control Resuscitation

• Partner: Joint Trauma System
• Need: Standardized, systematic methodology for collating clinical recommendations across clinical practice guidelines (CPGs).
• Knowledge Product/Practice: Standardize subcategories of clinical recommendations to highlight the most important guidance.
• Process: Developed strategies for efficient implementation of CPGs, including a CPG deconstruction tool and a summary of CPG updates; conducted successful dissemination campaigns of Damage Control Resuscitation and COVID-19 CPGs through infographics and pocket guides.
• Results: Improved translation of research recommendations into condensed, actionable formats to ease clinical applications across the MHS.