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International Urogynecology Journal
Published in:

28-09-2024 | Commentary

Commentary on “Obstetric Anal Sphincter Injury Care Bundle: A Quality Improvement Initiative”

Author: Heidi W. Brown

Published in: International Urogynecology Journal | Issue 11/2024

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Excerpt

In this issue, Powell and colleagues [1] evaluate implementation of a care bundle to standardize management of obstetric anal sphincter injury (OASI), focusing on three objectives:
1.
Second-generation cephalosporin administration at repair
 
2.
Wound check within 2 weeks postpartum
 
3.
Repair in the operating room (OR)
 
Clinician education coupled with an OASI order set in the electronic health record accomplished the first two goals, but OASI repair in the OR remained uncommon post-implementation. The authors suggest myriad possible explanations, all of which undoubtedly contribute, but the largest reason is that this objective requires behavior change on the part of providers and patients: a much heavier lift than can be accomplished through education and an electronic order set. …
Literature
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2.
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4.
Bidwell P, Thakar R, Sevdalis N, Silverton L, Novis V, Hellyer A, Kelsey M, van der Meulen J, Gurol-Urganci I. A multi-centre quality improvement project to reduce the incidence of obstetric anal sphincter injury (OASI): study protocol. BMC Pregnancy Childbirth. 2018;18:1–33. https://​doi.​org/​10.​1186/​s12884-018-1965-0.CrossRef
5.
Metadata
Title
Commentary on “Obstetric Anal Sphincter Injury Care Bundle: A Quality Improvement Initiative”
Author
Heidi W. Brown
Publication date
28-09-2024
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 11/2024
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-024-05913-1

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