Implementation of a Disparities in Labor Outcomes Dashboard
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 2,300
- 试验地点
- 1
- 主要终点
- Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart
研究概览
简要总结
This proposal will determine if a Disparities in Labor Outcomes dashboard can be used as an implementation strategy to increase compliance to an evidence-based set of interventions for labor induction in a two-site difference-in-differences study design.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •full term (greater than or equal to 37 weeks gestation)
- •singleton gestations
- •intact membranes
- •undergoing an induction of labor requiring cervical ripening
排除标准
- •- prior cesarean
研究组 & 干预措施
Pre period
Post period
干预措施: Disparities in Labor Outcomes Dashboard (Other)
结局指标
主要结局
Fidelity to a labor induction protocol recommendation to perform all cervical exams performed in latent labor were performed less than or equal to 4.5 hours apart
时间窗: from first cervical exam after admission for labor induction until the patient's cervical exam reaches 6cm dilation
Reported as binary - compliant or noncompliant; Time between cervical exams from first exam at admission for labor induction to reaching 6cm dilation will be calculated. If any time between exams is \>=4.5 hours, the outcome will be considered "non-compliant". If all are \<4.5 hours, the outcome will be "compliant."
次要结局
- Cesarean delivery(single time point, at the time of delivery)
- Maternal morbidity(from delivery until 30 days postpartum)
- Time to delivery(as time from start of induction to delivery in hours)