Obstetric Hemorrhage Consulting
Every hemorrhage follows a plan.
HERBSTAR partners with hospitals and labor & delivery units to review, benchmark, and operationalize hemorrhage protocols that perform under pressure, aligned with The Joint Commission and Maternal Levels of Care.
Protocol review · gap analysis · implementation, for L&D units nationwide
The case for readiness
Figures reflect published national maternal-safety data. See attribution.
Where outcomes are decided
The gap is rarely clinical knowledge. It’s the system around the bedside.
In most cases, adverse outcomes are driven less by a gap in clinical skill than by gaps in system readiness, delayed recognition of escalating blood loss, and inconsistent activation of the response chain.
System readiness
A protocol that looks complete on paper often reveals its gaps only under drill or real-world stress: a missing cart item, an ambiguous role, an unrehearsed handoff.
Why it mattersDelayed recognition
When blood loss is estimated rather than measured, escalation starts late. Quantitative measurement moves the entire response upstream.
Why it mattersInconsistent activation
The difference between a controlled event and an ICU admission is whether the next escalation step is unambiguous, and whether the team has rehearsed it.
Why it mattersWhat we do
Three modular tracks, designed to build on one another.
Commission a focused protocol review, a full standards-based evaluation, or an end-to-end implementation.
Protocol & Algorithm Review
A structured walkthrough of your existing hemorrhage algorithms, order sets, triggers, and workflows: how the protocol functions in practice versus how it reads on the page.
See the full track Track 02Standards-Based Gap Analysis
Benchmarking against the AIM Patient Safety Bundle, ACOG guidance, and the CMQCC Toolkit: a prioritized gap analysis scored for clinical risk.
See the full track Track 03Advanced Implementation
Design and rollout of an upgraded program: staged response, QBL measurement, transfusion integration, simulation drills, and competency validation.
See the full trackHow we work
The Four “R” Framework
Every recommendation maps to the readiness–recognition–response–reporting structure that underpins national maternal safety bundles.
Readiness
Hemorrhage cart, blood product access, transfusion protocol, defined response team, regular drills.
Recognition & Prevention
Risk stratification on admission and pre-delivery, quantitative blood-loss measurement, active third-stage management.
Response
A staged, checklist-driven emergency protocol with unambiguous escalation triggers and clear roles.
Reporting & Learning
Structured debriefs, multidisciplinary case review, and metrics that close the loop.
Benchmarked against national standards
AIM Patient Safety Bundle ACOG Clinical Guidance CMQCC Toolkit The Joint Commission Maternal Levels of CareStart the conversation
It starts with a brief scoping call.
Tell us about your unit’s volume, acuity, and goals. We’ll review your current protocol documents and return a proposal scoped to your needs.
herbstarobstetricalconsulting@gmail.com