Alexandria Alisa Proff, Surhan Fatima, Mónica Lorena Sánchez Limón
Becoming women: period. Perceptions of barriers and facilitators to menstrual hygiene management programs for Pakistani girls
Frontiers in public health
purpose study describe statewide perinatal quality improvement qi activities specifically implementation alliance innovation maternal health aim patient safety bundles use teamwork communication tools obstetric units oklahoma texas januaryfebruary 2020 conducted survey aimenrolled hospitals oklahoma n 35 texas n 120 gather data obstetric unit organization qi processes data linked hospital characteristics information 2019 american hospital association survey hospitals maternity levels care state agencies generated descriptive statistics state created index summarize adoption qi processes fitted linear regression models examine index varied hospital characteristics selfreported ratings patient safety aim bundle implementation obstetric units standardized clinical processes obstetric hemorrhage 94 oklahoma 97 texas massive transfusion 94 oklahoma 97 texas severe hypertension pregnancy 97 oklahoma 80 texas regularly conducted simulation drills obstetric emergencies 89 oklahoma 92 texas multidisciplinary qi committees 61 oklahoma 83 texas conducted debriefs major obstetric complications 45 oklahoma 86 texas obstetric units offered recent staff training teamwork communication staff 6 oklahoma 22 texas likely employ specific strategies facilitate communication escalate concerns manage staff conflicts overall adoption qi processes significantly higher hospitals urban rural areas teaching nonteaching offering higher levels maternity care staff per shift greater delivery volume p 05 qi adoption index scores strongly associated respondents ratings patient safety implementation maternal safety bundles p 001 adoption qi processes varies across obstetric units oklahoma texas implications implementing future perinatal qi initiatives notably findings highlight need reinforce support rural obstetric units often face greater barriers implementing patient safety qi processes urban units