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Thakar R, Bidwell P, Freeman R, Gurol-Urganci I, Jurczuk M, Martinez D, Percy E, Sevdalis N, Silverton L, van der Meulen J. Authors' reply re: OASI Care Bundle. BJOG 2021; 129:175-176. [PMID: 34590412 DOI: 10.1111/1471-0528.16901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 08/12/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Ranee Thakar
- Croydon University Hospital, Croydon Health Services NHS Trust, London, UK.,Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK
| | - Posy Bidwell
- Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK
| | - Robert Freeman
- Department of Women's Health, University Hospitals Plymouth NHS Trust, Plymouth, UK
| | - Ipek Gurol-Urganci
- Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK.,Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK
| | - Magdalena Jurczuk
- Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK
| | - Dorian Martinez
- Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK
| | - Elizabeth Percy
- Royal College of Obstetricians and Gynaecologists, Centre for Quality Improvement and Clinical Audit, London, UK.,Department of Women's Health, University Hospitals Plymouth NHS Trust, Plymouth, UK
| | - Nick Sevdalis
- Centre for Implementation Science, Health Service and Population Research Department, King's College London, London, UK
| | | | - Jan van der Meulen
- Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UK
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Jurczuk M, Bidwell P, Gurol-Urganci I, van der Meulen J, Sevdalis N, Silverton L, Thakar R. The OASI care bundle quality improvement project: lessons learned and future direction. Int Urogynecol J 2021; 32:1989-1995. [PMID: 33988784 PMCID: PMC8295109 DOI: 10.1007/s00192-021-04786-y] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 03/24/2021] [Indexed: 12/11/2022]
Abstract
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.
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Affiliation(s)
- Magdalena Jurczuk
- Centre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK.
| | - Posy Bidwell
- Centre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK
| | - Ipek Gurol-Urganci
- Centre for Quality Improvement and Clinical Audit, Royal College of Obstetricians and Gynaecologists, 10-18 Union Street, London, SE1 1SZ, UK.,Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK
| | - Jan van der Meulen
- Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK
| | - Nick Sevdalis
- Centre for Implementation Science, Health Service and Population Research Department, King's College London, De Crespigny Park, London, SE5 8AF, UK.
| | - Louise Silverton
- Royal College of Midwives, 10-18 Union Street, London, SE1 1SZ, UK
| | - Ranee Thakar
- Croydon University Hospitals NHS Trust, 530 London Road, Croydon, CR7 7YE, UK
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