In July 2019, the Nebraska Perinatal Quality Improvement Collaborative (NPQIC) began implementing the AIM Severe Hypertension in Pregnancy Patient Safety Bundle in 28 of the state’s 52 birthing facilities. Between July 2019 and June 2022, the proportion of obstetric physicians and midwives who completed education on severe hypertension and preeclampsia increased from 51.1% to 93.4%. Nursing education increased from 69.6% to 92.9% during the same period. Between 2019 and April 2021-June 2022, the rate of SMM excluding blood transfusions alone among patients with preeclampsia, eclampsia, and HELLP syndrome decreased by 37.3%, from 5.1% to 3.2% among participating facilities. NPQIC continues to work with participating birthing facilities to implement the patient safety bundle and educate all birthing facilities in the state on implementing best practices for the timely treatment of persistent severe hypertension.