ArticleBMC health services research2022
A relational approach to improving interprofessional teamwork in post-partum haemorrhage (PPH).
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- The development of proxy indicators to measure workforce well-being in emergency obstetric and neonatal care settings.Journal of global health · 2025Pooled it
- Perceptions and experiences of the prevention, detection, and management of postpartum haemorrhage: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2023Pooled it
- Postpartum Hemorrhage-Specific Self-Efficacy Among Obstetric Healthcare Providers in a Tertiary Care Hospital: An Analytical Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Teamwork and relational infrastructure: a qualitative study of modern UK general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Integrative analysis of a conceptual diagram depicting the relationship between pediatric ward nurses' anxiety and physicians' expectations when responding to sudden changes in children's condition.Fujita medical journal · 2026Article
- Education that Empowers: A critical realist evaluation of a novel incivility-focused immersive simulation.Advances in simulation (London, England) · 2026Article
- Do they practise what we teach? A mixed-methods investigation into learning transfer of the maternity team approach in maternity emergencies.Advances in simulation (London, England) · 2026Article
- Reimagining simulation for quality and safety in healthcare: connecting paradigms, methods, and communities.Advances in simulation (London, England) · 2025Article
- A scoping review on the contribution of interprofessional collaborative practices on preventing and managing post-partum haemorrhage in the health care system.BMC nursing · 2025Article
- Empowering Midwives in Humanitarian Settings: Integrating Heat-Stable Carbetocin and Tranexamic Acid into Postpartum Hemorrhage Training.International journal of MCH and AIDS · 2024Article
- Roles and challenges encountered by midwives in the management of postpartum haemorrhage following normal vaginal delivery: A scoping review.Nursing open · 2024Article
- Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety.Advances in simulation (London, England) · 2024Article
- Digitally-mediated coordination in healthcare: the effects of teleconsultation on doctor-to-doctor relational coordination.BMC health services research · 2024Article
- Recommendations for embedding simulation in health services.Advances in simulation (London, England) · 2023Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPost-partum haemorrhage (PPH) is an obstetric emergency that requires effective teamwork under complex conditions. We explored healthcare team performance for women who suffered a PPH, focusing on relationships and culture as critical influences on teamwork behaviours and outcomes.
methodsIn collaboration with clinical teams, we implemented structural, process and relational interventions to improve teamwork in PPH cases. We were guided by the conceptual framework of Relational Coordination and used a mixed methods approach to data collection and analysis. We employed translational simulation as a central, but not singular, technique for enabling exploration and improvement. Key themes were identified from surveys, focus groups, simulation sessions, interviews, and personal communications over a 12-month period.
resultsFour overarching themes were identified: 1) Teamwork, clear roles and identified leadership are critical. 2) Relational factors powerfully underpin teamwork behaviours-shared goals, shared knowledge, and mutual respect. 3) Conflict and poor relationships can and should be actively explored and addressed to improve performance. 4) Simulation supports improved team performance through multifaceted mechanisms. One year after the project commenced, significant progress had been made in relationships and systems. Clinical outcomes have improved; despite unprecedented increase in labour ward activity, there has not been any increase in large PPHs.
conclusionsTeamwork, relationships, and the context of care can be actively shaped in partnership with clinicians to support high performance in maternity care. We present our multifaceted approach as a guide for leaders and clinicians in maternity teams, and as an exemplar for others enacting quality improvement in healthcare.
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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.