TeamBirth-SWE - a Care Process to Improve Safe and Person-centered Intrapartum Care

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.

Conditions

• Person Centered Care
• Patient Safety
• Patient Satisfaction

Interventions

BEHAVIORAL

The care process S-TeamBirth

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

BEHAVIORAL

S-TeamBirth

Involving the entire care team including the woman and her partner in planning the care using team huddles and the S-TeamBirth whiteboard

Sponsors & Collaborators

• Uppsala University Hospital

  collaborator OTHER

• Region Skane

  collaborator OTHER

• Region Halland

  collaborator OTHER

• Region Jämtland Härjedalen

  collaborator OTHER

• Ariadne Labs

  collaborator OTHER

• Värmland County Council, Sweden

  collaborator OTHER_GOV

• Region Stockholm

  collaborator OTHER_GOV

• Karolinska Institutet

  lead OTHER

Eligibility

Min Age

15 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-02-05

Primary Completion

2028-09-05

Completion

2029-12-31

Countries

• Sweden

Study Locations