From: Development of a tailored strategy to improve postpartum hemorrhage guideline adherence
 | Barriers | Na |
1 | Lack of checklist/flowchart about PPH at the delivery rooms | 4 |
2 | The guideline is difficult to obtain the at the delivery ward | 3 |
3 | Recommendations and definitions in the guideline are unclear | 3 |
4 | Professionals overestimate their knowledge regarding identifying the patient-categories at risk for PPH and regarding the treatment of high-risk patients and patients with PPH | 4 |
5 | Professionals lack to detect high-risk patients at the outpatient clinic | 4 |
6 | Tools: need for practical tools for easier and practical use of the guideline | 3 |
7 | Lack of communication in the team responsible for the patient, about the risks, policy’s, seriousness of the situations or actions that need to be taken | 4 |
8 | Unclearness in leadership trough lack of knowledge of each other’s skills and ability, because of inexperienced professionals and the frequent change of team composition. | 4 |
9 | Disagreement between team members and with personnel of other disciplines about the seriousness of the situation (blood-bank personnel and anesthesiologists) | 3 |
10 | Lack of team collaboration, for orders are not followed and team members prefer following their own instincts in treatments that leads to inconsequent policy. | 3 |
11 | Presence of hierarchy leads to dread, for team members find it difficult to call in a gynecologist who is at home and speak freely against the supervisor when there is a disagreement about policy | 3 |
 | Facilitators |  |
1 | The availability of a checklist/flowchart about PPH at the delivery rooms would improve care | 4 |