Table 5 Frequencies and examples of actions to improve care after perinatal audit meetings divided over categories

External collaboration

64

(15)

- Formalising the agreement on the management of reduced fetal movements in local guidelines (G,P)*

- Strengthening and formalising of informal agreements between 1st and 2nd echelon (G,M)*

- Strengthening and formalising of informal agreements between specialists 2^nd echelon (G,P+A)*

Internal collaboration

76

(17)

- Better and more “to the point” documentation (M)*

- Clear and specific handover of the care management plan (M+G)*

- Regular review of all pregnant women in care in the independent practice (M)*

- Clearer agreement between nurses and doctors on care management plan and communication (G+M)*

Practice organisation

11

(26)

- New routine for updating guidelines and protocols (G+M)*

- Organisation of better access to guidelines and protocols (M)*

- Acquisition of a standard reanimation table in the OR (G+P)*

- Improvement of the procedure for the follow up of laboratory results (M)*

Training and education

42

(10)

- Skills en drills training program (G)*

- Regular multidisciplinary patient reviews (G+M)*

- CTG interpretation training for obstetric nurses (N)*

Medical

117

(27)

- Updating and revision of local guidelines (M,G)*

- Making a standard questionnaire to be used as a guide for the intake consult (M)*

Other

29

(7)

- More peer review within the practice and professional group within the hospital (M,G)*

- Participating in peer review sessions outside the practice (M)*

- Taking more time to reflect on ones own professional practice (M,G)*