Table 4

Evidence-based practice (EBP) implementation by site

EBPsSites that had EBP in place prior to team goalSites that implementedBarriers to implementation (site)How team goal aided implementation (site)
Postpartum haemorrhage cart1, 2, 35Opportunity to share best practices among the entities (5)
Implicit bias training1, 3, 5Schedule coordination (1); provider buy-in (5); lack of outlet to report bias (3)Provided education (5)
Standardisation of labour induction practices1, 2, 5Provider buy-in (2, 5); competing priorities (1, 2)Provided education (5)
Coding reform around haemorrhage1, 2, 3, 4, 5Getting accurate data to support implementation (2); workflow changes (5)Centralised coding corrections (2, 5); opportunity to share best practices among the entities (2, 3)
Postpartum haemorrhage risk assessment integrated into EMR1, 2, 3, 5Automating the process in the EMR (3)Opportunity to share best practices among the entities (2, 3)
Process for quantitative blood loss1, 2, 53Automating the process in the EMR (3); workflow changes (2, 3)Opportunity to share best practices among the entities (2, 3)
Diversifying Doulas3No responseNo response
Standardised management of antepartum anaemia1, 23Automating the process in the EMR (3); workflow changes (3)CRFs helped quantify the issue (3); administrative support (2)
Establishment of maternal-child health equity team1, 2, 4, 5Engaging patient voice (4); provider buy-in (2)Encouragement to expand focus (2, 4)
Standardised response to obstetric haemorrhage1, 2, 34, 5Helped prioritise this intervention (4)
 Implementation of haemorrhage checklist1, 35Helped prioritise this intervention (1)
Haemorrhage skills and drills15
  • CRF, case report form.