Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)
Endeavor Health
Summary
To evaluate the effectiveness of an existing quality improvement (QI) training program known as TeamBirth, using a randomized stepped-wedge hybrid type II study design, to (a) decrease nulliparous term singleton vertex (NTSV) cesarean birth (CB) across all birthing people, and specifically for Black birthing people, and (b) increase shared decision-making (SDM), (c) improve patient experience of respectful care. TeamBirth uses a train-the-trainer model to implement patient-participatory shared decision-making on Labor and Delivery (L\&D) units, with the goal of decreasing unwanted and unnecessary interventions and improving patient experiences and outcomes for labor and birth.
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Age 18 or older * English or Spanish speaking * Gave birth to a live-born infant after laboring Exclusion Criteria: * Speaks a language other than English or Spanish * Under the age of 18 * Gave birth to a nonliving infant * Cesarean delivery without labor
Interventions
- BehavioralTeamBirth
TeamBirth
Location
- Endeavor Health Evanston HospitalEvanston, Illinois