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Improving communication and teamwork during labor: A feasibility, acceptability, and safety study.

Publication ,  Journal Article
Weiseth, A; Plough, A; Aggarwal, R; Galvin, G; Rucker, A; Henrich, N; Miller, K; Subramanian, L; Hawrusik, R; Berry, W; Gullo, S; Spigel, L ...
Published in: Birth
December 2022

BACKGROUND: TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery. METHODS: We conducted a mixed-methods trial of TeamBirth among eligible laboring patients and all clinicians (nurses, midwives, and obstetricians) at four high-volume hospitals during April 2018 to September 2019. We used patient and clinician surveys, abstracted clinical data, and administrative claims to evaluate the feasibility, acceptability, and safety of TeamBirth. RESULTS: A total of 2,669 patients (approximately 28% of eligible delivery volume) and 375 clinicians (78% response rate) responded to surveys on their experiences with TeamBirth. Among patients surveyed, 89% reported experiencing at least one structured full care team conversation ("huddle") during labor and 77% reported experiencing multiple huddles. There was a significant relationship between the number of reported huddles and patient acceptability (P < 0.001), suggestive of a dose response. Among clinicians surveyed, 90% would recommend TeamBirth for use in other labor and delivery units. There were no significant changes in maternal and newborn safety measures. CONCLUSIONS: Implementing a care process that aims to improve communication and teamwork during labor with high fidelity is feasible. The process is acceptable to patients and clinicians and shows no negative effects on patient safety. Future work should evaluate the effectiveness of TeamBirth in improving care experience and health outcomes.

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Published In

Birth

DOI

EISSN

1523-536X

Publication Date

December 2022

Volume

49

Issue

4

Start / End Page

637 / 647

Location

United States

Related Subject Headings

  • Pregnancy
  • Patient Safety
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Infant, Newborn
  • Humans
  • Female
  • Feasibility Studies
  • Family
  • Communication
 

Citation

APA
Chicago
ICMJE
MLA
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Weiseth, A., Plough, A., Aggarwal, R., Galvin, G., Rucker, A., Henrich, N., … Shah, N. T. (2022). Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth, 49(4), 637–647. https://doi.org/10.1111/birt.12630
Weiseth, Amber, Avery Plough, Reena Aggarwal, Grace Galvin, Amber Rucker, Natalie Henrich, Kate Miller, et al. “Improving communication and teamwork during labor: A feasibility, acceptability, and safety study.Birth 49, no. 4 (December 2022): 637–47. https://doi.org/10.1111/birt.12630.
Weiseth A, Plough A, Aggarwal R, Galvin G, Rucker A, Henrich N, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022 Dec;49(4):637–47.
Weiseth, Amber, et al. “Improving communication and teamwork during labor: A feasibility, acceptability, and safety study.Birth, vol. 49, no. 4, Dec. 2022, pp. 637–47. Pubmed, doi:10.1111/birt.12630.
Weiseth A, Plough A, Aggarwal R, Galvin G, Rucker A, Henrich N, Miller K, Subramanian L, Hawrusik R, Berry W, Gullo S, Spigel L, Dever K, Loveless D, Graham K, Paek B, Shah NT. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022 Dec;49(4):637–647.
Journal cover image

Published In

Birth

DOI

EISSN

1523-536X

Publication Date

December 2022

Volume

49

Issue

4

Start / End Page

637 / 647

Location

United States

Related Subject Headings

  • Pregnancy
  • Patient Safety
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Infant, Newborn
  • Humans
  • Female
  • Feasibility Studies
  • Family
  • Communication