ArticleBMJ quality & safety2021
Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.
Article in BMJ quality & safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926504 (TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- What are the strategies for implementing primary care models in maternity? A systematic review on midwifery units.BMC pregnancy and childbirth · 2022Pooled it
- Review
- Improving maternity and neonatal care in England: protocol for a formative evaluation of the implementation of the core competency framework to enhance multi-professional practice.BMC pregnancy and childbirth · 2026Article
- Ready for change? The effect of profession and organization on patient safety culture and organizational readiness for change - a cross-sectional study.BMC health services research · 2026Article
- Understanding the relational culture of healthcare workplaces: a framework to guide improvement interventions, derived from a realist evaluation of neonatal care in Kenya.BMC health services research · 2025Article
- Lessons from using the Normalisation Process Theory to understand adherence to guidance on MgSOImplementation science communications · 2025Article
- Article
- Integrating patient and public involvement into co-design of healthcare improvement: a case study in maternity care.BMC health services research · 2025Article
- Article
- Insights into obstetric anesthesia practices: a quantitative survey among physicians across Arab countries.BMC anesthesiology · 2024Article
- Locum doctor working and quality and safety: a qualitative study in English primary and secondary care.BMJ quality & safety · 2024Article
- Article
- Displaced risk. Keeping mothers and babies safe: a UK ambulance service lens.British paramedic journal · 2023Article
- Protocol for the Pathways Study: a realist evaluation of staff social ties and communication in the delivery of neonatal care in Kenya.BMJ open · 2023Article
- Leading change in practice: how "longitudinal prebriefing" nurtures and sustains in situ simulation programs.Advances in simulation (London, England) · 2023Article
- A relational approach to improving interprofessional teamwork in post-partum haemorrhage (PPH).BMC health services research · 2022Article
- The social networks of hospital staff: A realist synthesis.Journal of health services research & policy · 2022Review
- Article
- A case study on the use of Public Narrative as a leadership development approach for Patient Leaders in the English National Health Service.Frontiers in public health · 2022Article
- Strategies to reduce the caesarean section rate in a private hospital and their impact.BMJ open quality · 2021Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
14 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundReducing avoidable harm in maternity services is a priority globally. As well as learning from mistakes, it is important to produce rigorous descriptions of 'what good looks like'.
objectiveWe aimed to characterise features of safety in maternity units and to generate a plain language framework that could be used to guide learning and improvement.
methodsWe conducted a multisite ethnography involving 401 hours of non-participant observations 33 semistructured interviews with staff across six maternity units, and a stakeholder consultation involving 65 semistructured telephone interviews and one focus group.
resultsWe identified seven features of safety in maternity units and summarised them into a framework, named
conclusionsThis large qualitative study has enabled the generation of a new plain language framework-For Us-that identifies the behaviours and practices that appear to be features of safe care in hospital-based maternity units.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.