Skip to main content
Journal cover image

The design of "TeamBirth": A care process to improve communication and teamwork during labor.

Publication ,  Journal Article
Aggarwal, R; Plough, A; Henrich, N; Galvin, G; Rucker, A; Barnes, C; Berry, W; Golen, T; Shah, NT
Published in: Birth
December 2021

BACKGROUND: Despite evidence that communication and teamwork are critical to patient safety, few care processes have been intentionally designed for this purpose in labor and delivery. The purpose of this project was to design an intrapartum care process that aims to improve communication and teamwork between clinicians and patients. METHODS: We followed the "Double-Diamond" design method with four sequential steps: Discover, Define, Develop, and Deliver. In Discover, we searched professional guidelines and peer-reviewed literature to delineate the challenges to quality of intrapartum care and to uncover options for solutions. In Define, we convened an interdisciplinary group of experts to focus the problem scope and prioritize solution features. In Develop, we created initial prototype solutions. In Deliver, we engaged clinicians and patients in rapid cycle testing to iteratively produce a care process called "TeamBirth" that aims to improve team communication. RESULTS: We designed TeamBirth, an intrapartum care process composed of brief team meetings ("huddles") between clinicians and patients. Huddles are navigated by a shared planning board placed in the labor and delivery room in view of the patient and their care team. The board promotes transparent and reliable communication and contains four areas to be acknowledged or discussed: (a) the names of the team members, starting with the patient; (b) the patient's preferences; (c) the care plan for the patient, baby, and labor progress; and (d) when the next team huddle is anticipated. DISCUSSION: We identified an opportunity to improve the safety and dignity of childbirth care through an intrapartum care process that promotes reliable and structured communication and teamwork. Future work should evaluate the acceptability and feasibility of implementation and potential impact on safety and experience of care.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Birth

DOI

EISSN

1523-536X

Publication Date

December 2021

Volume

48

Issue

4

Start / End Page

534 / 540

Location

United States

Related Subject Headings

  • Pregnancy
  • Patient Safety
  • Patient Care Team
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Humans
  • Female
  • Communication
  • 4205 Nursing
  • 4204 Midwifery
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Aggarwal, R., Plough, A., Henrich, N., Galvin, G., Rucker, A., Barnes, C., … Shah, N. T. (2021). The design of "TeamBirth": A care process to improve communication and teamwork during labor. Birth, 48(4), 534–540. https://doi.org/10.1111/birt.12566
Aggarwal, Reena, Avery Plough, Natalie Henrich, Grace Galvin, Amber Rucker, Chris Barnes, William Berry, Toni Golen, and Neel T. Shah. “The design of "TeamBirth": A care process to improve communication and teamwork during labor.Birth 48, no. 4 (December 2021): 534–40. https://doi.org/10.1111/birt.12566.
Aggarwal R, Plough A, Henrich N, Galvin G, Rucker A, Barnes C, et al. The design of "TeamBirth": A care process to improve communication and teamwork during labor. Birth. 2021 Dec;48(4):534–40.
Aggarwal, Reena, et al. “The design of "TeamBirth": A care process to improve communication and teamwork during labor.Birth, vol. 48, no. 4, Dec. 2021, pp. 534–40. Pubmed, doi:10.1111/birt.12566.
Aggarwal R, Plough A, Henrich N, Galvin G, Rucker A, Barnes C, Berry W, Golen T, Shah NT. The design of "TeamBirth": A care process to improve communication and teamwork during labor. Birth. 2021 Dec;48(4):534–540.
Journal cover image

Published In

Birth

DOI

EISSN

1523-536X

Publication Date

December 2021

Volume

48

Issue

4

Start / End Page

534 / 540

Location

United States

Related Subject Headings

  • Pregnancy
  • Patient Safety
  • Patient Care Team
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Humans
  • Female
  • Communication
  • 4205 Nursing
  • 4204 Midwifery