Reduction in massive postpartum haemorrhage and red blood cell transfusion during a national quality improvement project, Obstetric Bleeding Strategy for Wales, OBS Cymru: an observational study

Table 4 Contribution of intervention to practice change during OBS Cymru

Intervention	Importance to practice change, n = 29 (1- not important, 5- most important) Median (IQR)
Quantitative measurement of blood loss	5 (4–5)
Team working	5 (3–5)
Point-of-care testing of coagulation	5 (3–5)
Paperwork proforma	4 (1–4)

Legend: Responses were 37.9% midwifery, 37.9% anaesthesia, 17.2% obstetrics, 6.9% haematology. Free text responses describing changes in individual practice included ‘awareness of ongoing blood loss’, ‘proactive rather than reactive’, ‘consistent management’, ‘appropriate product administration’, ‘communication and team-working’. Barriers to implementation were reported by 69% (20/29) with the most common theme being training (70%, 14/20). This was also the leading response for overcoming barriers 53.5% (8/15)

ISSN: 1471-2393