Category | Number of goals identified (124 total) | Number of goals achieved (73 goals, 58.8%) | Examples of goals achieved | Examples of goals not achieved |
---|---|---|---|---|
Training | 35 | 28 (80%) | Replicate simulation scenarios with PartoPants™ | Train in manual uterine vacuum aspiration |
Train other personnel in Active Management of the Third Stage of Labor | Improve record keeping for charts | |||
Train additional personnel in teamwork concepts | ||||
Train additional personnel in communication rules | ||||
System and Infrastructure | 56 | 30 (53%) | Implement an alarm system useful throughout the hospital, emergency department, labor and delivery, pediatrics | Acquire new ambu bags for neonatal resuscitation |
Acquire medications such as Misoprostol, Oxytocin | Establish meetings between hospital Director and local government health authorities | |||
Refrigeration of oxytocin and/or ergonovine | Access to locked ultrasound machine evening and weekends | |||
Move refrigerator close to delivery room | Reorganize shift coverage to make sure adequate care available | |||
Create inventory of available medications for obstetric emergencies | Specialty care available in all shifts | |||
Repair ambulance | ||||
Teamwork and Communication | 33 | 15 (45%) | Post and promote characteristics of a strong leader | Improve work environment through courses and seminars |
Use communication rules with colleagues and explain their use to non-PRONTO trained colleagues | Establish system of individual stimuli for better attitude and teamwork- “provider of the month”ss | |||
Meeting between PRONTO participants and hospital authorities, Medical and Nursing Directors, to discuss action plan and implementation |