TeamBirth-SWE - a Care Process to Improve Safe and Person-centered Intrapartum Care
TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth
Karolinska Institutet
800,000 participants
Feb 5, 2024
OBSERVATIONAL
Conditions
Summary
The primary objective of this project is to enhance understanding of intrapartum patient safety and person-centered care through the evaluation of an intervention designed to improve team communication and patient involvement during childbirth, thereby positively impacting maternal and infant health. Despite various efforts to improve safety in intrapartum care, women and their infants are still harmed. Most adverse events within intrapartum care stem from communication and teamwork failures. Despite national and international recommendations, few interventions target patient safety by incorporating person-centered care. This project will investigate the effectiveness and implementation of the TeamBirth care process developed by Ariadne Labs Boston, U.S. to improve communication and teamwork among caregivers and women during childbirth. The Swedish version of this care process (TeamBirth-SWE) was adapted, tested, and piloted at Karolinska University Hospital during 2021. Hypothesis: We hypothesize that the TeamBirth-SWE intervention will have a positive impact on interprofessional teamwork, communication, information sharing, patient involvement, and shared decision-making during labor and birth. These improvements are expected to result in improved maternal and infant outcomes, process measures i.e., patient safety climate, interprofessional collaboration, and improved patient reported measures such as patient involvement, shared-decision-making, and satisfaction with care.
Eligibility
Inclusion Criteria3
- Spontaneous onset of labor
- Induction of labort
- Gestational week >22+0
Exclusion Criteria3
- Planned cesarean section
- Intrauterine Fetal Demise
- Gestational week <22+0, .
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Interventions
The intervention consists of the entire care team conducting huddles together with the birthing woman and her partner to plan the care, using the S-TeamBirth whiteboard to communicate and visualize decisions
Involving the entire care team including the woman and her partner in planning the care using team huddles and the S-TeamBirth whiteboard
Locations(7)
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NCT06926504