The OASI care bundle quality improvement project: lessons learned and future direction

TY - JOUR

T1 - The OASI care bundle quality improvement project

T2 - lessons learned and future direction

AU - Jurczuk, Magdalena

AU - Bidwell, Posy

AU - Gurol-Urganci, Ipek

AU - van der Meulen, Jan

AU - Sevdalis, Nick

AU - Silverton, Louise

AU - Thakar, Ranee

N1 - Funding Information: Evaluation of the OASI-CB was funded by the Health Foundation. The research of N.S. is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South London at King’s College Hospital NHS Foundation Trust. N.S. is a member of King’s Improvement Science, which offers co-funding to the NIHR ARC South London and is funded by King’s Health Partners (Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, King’s College London and South London and Maudsley NHS Foundation Trust), and Guy’s and St Thomas’ Charity. The views expressed in this publication are those of the authors and not necessarily those of the Health Foundation, NIHR, or the Department of Health and Social Care. Publisher Copyright: © 2021, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/7

Y1 - 2021/7

N2 - Rising rates of obstetric anal sphincter injury (OASI) led to a collaborative effort by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM) to develop and evaluate the OASI Care Bundle (OASI-CB). The OASI-CB comprises four practices (antenatal discussion about OASI, manual perineal protection, mediolateral episiotomy at 60° from the midline, and systematic examination of the perineum, vagina and ano-rectum after vaginal birth) and was initially implemented as part of a quality improvement (QI) project—“OASI1”—in 16 maternity units across Great Britain. Evaluation of the OASI1 project found that the care bundle reduced OASI rates and identified several barriers and enablers to implementation. This paper summarises the key findings, including strengths, limitations and lessons learned from the OASI1 QI project, and provides rationale for further evaluation of the OASI-CB.

AB - Rising rates of obstetric anal sphincter injury (OASI) led to a collaborative effort by the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM) to develop and evaluate the OASI Care Bundle (OASI-CB). The OASI-CB comprises four practices (antenatal discussion about OASI, manual perineal protection, mediolateral episiotomy at 60° from the midline, and systematic examination of the perineum, vagina and ano-rectum after vaginal birth) and was initially implemented as part of a quality improvement (QI) project—“OASI1”—in 16 maternity units across Great Britain. Evaluation of the OASI1 project found that the care bundle reduced OASI rates and identified several barriers and enablers to implementation. This paper summarises the key findings, including strengths, limitations and lessons learned from the OASI1 QI project, and provides rationale for further evaluation of the OASI-CB.

KW - Implementation

KW - OASI Care Bundle

KW - Obstetric anal sphincter injury

KW - Quality improvement

KW - Scale-up

KW - Severe perineal tear

UR - http://www.scopus.com/inward/record.url?scp=85105937884&partnerID=8YFLogxK

U2 - 10.1007/s00192-021-04786-y

DO - 10.1007/s00192-021-04786-y

M3 - Article

C2 - 33988784

AN - SCOPUS:85105937884

SN - 0937-3462

VL - 32

SP - 1989

EP - 1995

JO - International Urogynecology Journal

JF - International Urogynecology Journal

IS - 7

ER -