Evidence map›Paper›PMID 27853321›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Contextual factors influencing the implementation of the obstetrics hemorrhage initiative in Florida.

C A Vamos, E L Thompson, A Cantor, L Detman, E Bronson, A Phelps, J M Louis, A R Gregg, J S Curran, W Sappenfield

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

C A VamosDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
E L ThompsonDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
A CantorDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.
L DetmanThe Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
E BronsonFlorida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
A PhelpsFlorida Perinatal Quality Collaborative, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, College of Public Health, University of South Florida, Tampa, FL, USA.
J M LouisDepartment of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
A R GreggDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Florida, Gainesville, FL, USA.
J S CurranUniversity of South Florida Health, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
W SappenfieldDepartment of Community and Family Health, College of Public Health, University of South Florida, Tampa, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to explore the multilevel contextual factors that influenced the implementation of the Obstetric Hemorrhage Initiative (OHI) among hospitals in Florida. STUDY

designA qualitative evaluation was conducted via in-depth interviews with multidisciplinary hospital staff (n=50) across 12 hospitals. Interviews were guided by the Consolidated Framework for Implementation Research and analyzed in Atlas.ti using rigorous qualitative analysis procedures.

resultFactors influencing OHI implementation were present across process (leadership engagement; engaging people; planning; reflecting), inner setting (for example, knowledge/beliefs; resources; communication; culture) and outer setting (for example, cosmopolitanism) levels. Moreover, factors interacted across levels and were not mutually exclusive. Leadership and staff buy-in emerged as important components influencing OHI implementation across disciplines.

conclusionKey contextual factors found to influence OHI implementation experiences can be useful in informing future quality improvement interventions given the institutional and provider-level behavioral changes needed to account for evolving the best practices in perinatology.

Indexed as

Health Knowledge, Attitudes, PracticeInterdisciplinary CommunicationFemaleFloridaHealth Plan ImplementationHumansInterviews as TopicPerinatologyPersonnel, HospitalPostpartum HemorrhagePregnancyQualitative ResearchQuality Improvement

Identifiers

PMID27853321

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.