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

From: The implementation of unit-based perinatal mortality audit in perinatal cooperation units in the northern region of the Netherlands

Category actions n (%) Examples (involved caregiver group)
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 2nd 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)*
  1. * G,P,M,N,A=: gynaecologist, paediatrician, midwife, nurse, anaesthetist respectively.