WHA Safety & Quality Forum
Networking on safety & quality improvement in Maternity Care
In 2016, WHA members identified 5 priority topics of interest related to enhancing the safety & quality of maternity care for women and newborns:
- Reducing rates of third and fourth degree perineal tears
- Improving recognition & response to reduced fetal movements at term
- Arresting the rise in rates of Induction of Labour
- Reducing the rate of first time caesarean section
- Reducing rates of severe Post-Partum Haemorrhage
Last year’s Safety & Quality Forum focused on reduced fetal movements, and the latest evidence about effective ways to reduce stillbirth while being careful not to over-treat women at low risk (see copies of presentations given here)
In 2017 WHA also launched a collaborative on reducing third and fourth degree perineal tears. Twenty-eight maternity services from 5 states participated. The challenges faced and successes achieved by the teams will be showcased at this year’s Safety & Quality Forum.
Objectives of this year's meeting
The major focus of this year’s Forum will be on Induction of Labour - see the program
With rates of induction rising across the WHA community, we shared for the first time some analysis from more than 100,000 births in member services. With many member hospitals now sharing de-identified clinical data about each episode of care, we have a unique opportunity to better understand the relationship between women’s characteristics, induction of labour, and outcomes for women and their newborns. We asked:
- For which women and babies is IOL improving outcomes?
- Should women be offered induction at 39 weeks?
The program had a strong line up of presenters and lots of opportunity for discussion with peers. Participants were also provided with tools to take away to assist with analysing local systems around induction of labour and identifying areas for improvement.
WHA also provided its updated Benchmarking Maternity Care reports for 2017-18 to all participating member services.
Presentations from the event
- Recap on priorities for the Safety & Quality in Maternity Care network of WHA - A/Prof Anne Sneddon (WHA)
- Collaborative Improvement: the Why, How and What of the WHA Perineal Tears project - A/Prof Deborah Browne (WHA - CEC)
- The Improvement Journey: Insights from Collaborative Teams:
Team 1: Monash Medical Centre Clayton - Stefanie DiBenedetto & Karen Sawyer
Team 2: St George Hospital - Anita Thompson
Team 3: King Edward Memorial Hospital - Carly Thompson
Team 4: West Gippsland Healthcare Group - Heidi Vale & Warrick Pill
- Every system is perfectly designed to get the results that it gets - A/Prof Deborah Browne (WHA - CEC)
- Why think about induction of labour? Insights from WHA's latest clinical benchmarking - A/Prof Anne Sneddon (WHA)
- What do we know about variation in IOL practices? - Prof Jonathan Morris (Northern Sydney Local Health District & the Kolling Institute)
- What can we learn from our own care? - A/Prof Andrew Bisits (Royal Hospital for Women)
- Is induction improving outcomes for babies in the medium term? - Prof Jonathan Morris (Northern Sydney Local Health District & the Kolling Institute)
- Implications of labour and birth care decisions for maternal & child wellbeing - A/Prof Charlene Thornton (Flinders University)
- What can we learn from efforts overseas to reduce stillbirths? - Prof David Ellwood (Griffith University)
- The lived experience of induction of labour: what can we learn from women? - facilitated panel discussion with consumers
- The Arrive trial in the U.S: What does it tell us about best practice care for Australian women? - Dr Adam Mackie (Royal Prince Alfred Hospital)
- Why ARRIVE should not thrive in Australia - Dr Miranda Davies-Tuck (Hudson Institute of Medical Research)
- Modelling the ARRIVE trial parameters in the WHA clinical episode dataset: How transferable are the ARRIVE findings to the care of women and babies in Australia? - A/Prof Andrew Bisits (Royal Hospital for Women)
- Beyond clinical trials: How to achieve reliability in best practice care - Prof Stephen Meuthing & Barb Vernon
- IOL changes at the Royal Women's Hospital - Ms Monique Johnstone