Skip to main content

Table 1 Main barriers and facilitators addressed by professionals

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

  1. a Amount of focus groups that mentioned the barrier or facilitator