- Led by North Bristol NHS Trust, in partnership with the University of Bristol, the International Stillbirth Alliance and the University of Manchester.
- Aimed to improve the review process after the death of a baby in hospital, to help parents deal with their grief more effectively and drive improvements in patient safety.
- Involved incorporating input from parents into the hospital review process in two UK hospitals.
The Safer Maternity Care campaign has pledged to reduce the number of perinatal deaths by half by 2025, by improving reviews and lessons learned after a baby has died.
In 2015 there were 4,583 stillbirths and neonatal deaths at age under seven days (perinatal mortality) in the UK. The perinatal mortality review meeting (PNMR) that takes place within the hospital enables clinicians to learn vital lessons to improve care in the future. However, evidence suggests that parents are unaware that a formal review takes place following the death of their baby, and many would welcome the opportunity to provide feedback.
Parental involvement in the PNMR could improve patient satisfaction, drive improvements in patient safety, and promote an open culture within health care.
This project involved parents in the PNMR process at two hospitals in North Bristol and Central Manchester University Hospitals NHS Trusts. Challenges included obtaining buy-in from health care professionals, as there were initial concerns and fears about the number of complaints that might be received. However, the initiative was developed using input from bereaved parents, stakeholders, charities and health care professionals.
The project has already had an impact through better patient experience, improvements in hospital processes and increases in patient safety.
There has been a request to apply the project’s findings to serious untoward incidents and patient safety incidents at North Bristol NHS Trust. The findings have informed the National Perinatal Mortality Review Tool, which will be rolled out across the UK in 2018; the Department of Health’s Bereavement Care Pathway; and the revised international Royal College of Obstetricians and Gynaecologists’ management of stillbirth guidance.
For more information about this project, please contact Dr Christy Burden, National Institute for Health Research Academic Clinical Lecturer, Obstetrics and Gynaecology, Southmead Hospital, Bristol.
About this programme
This programme supports up to 23 projects with up to £75,000 to test and develop innovative ideas and approaches, put them in...
You might also like...
This project will develop and test analytical strategies to inform the design of quality improvement projects led by paediatr...
Project that will use behavioural insights methods to optimise health care workers’ medication prescribing and use choices, i...
The International Forum on Quality and Safety in Healthcare is an annual gathering of health care professionals in quality im...
Health Foundation @HealthFdn
59% of young people believe it will be harder to get a job as a result of advances in robotics, says… https://t.co/iLi09fP3M3Follow us on Twitter
Work with us
We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.View current vacancies
The Q Community
Q is an initiative connecting people with improvement expertise across the UK.Find out more