S17: Driving change in pre-term and early term birth


Friday 8 November | 13:05-14:35


Session format: Presentation


Stream: Safety


 


Part 1: Preventing harmful early birth: The Australian Preterm Birth Prevention National Breakthrough Collaborative


Discovering how to safely prevent preterm and early term birth needs to be one of our highest priorities. A population-based prevention program commenced in 2018 met with success in some regions of Australia, but not all. To better implement the program, a large Breakthrough Collaborative was funded by the Commonwealth Government and conducted over a 16-month period concluding in March 2024. The strategies encompassed education, ultrasound imaging and medication. Implementation was based on the IHI Breakthrough Collaborative methodology and included more than 600 PDSA cycles in the 60+ participating hospitals. Final analyses of outcomes are currently in progress.


John Newnham Australian Preterm Birth Prevention Alliance; Australia


 


Part 2: Driving change to reduce preterm and early term birth


The Queensland Preterm Birth Prevention Program (QPTBPP) aimed to reduce preterm and early term birth through a targeted education roadshow. Improvement methodology was used to promote sustainable behaviour and organisational change, within complex healthcare settings, and across diverse geographical locations. The QPTBPP addresses key issues for rural and remote settings who have unique access constraints for face-to-face education. Delegates will gain a deeper understanding of strategies used by the program team to provide relevant, individualised education that was hands on and tailored to each location’s needs and requirements. Consumer involvement was an integral part of this program and has shaped all aspects of the program delivery.


Deyna Hopkinson Clinical Excellence Queensland; Australia


 


 


Part 3: Safer baby bundles in Queensland using a modified breakthrough series collaborative approach


In Australia, six babies are stillborn each day.


Safer Baby Bundle Improvement Project (SBBIP) audits indicate avoidable contributing factors were present in 25% of stillbirths after 34 weeks. The SBBIP is an evidence-based bundle of care that aims to reduce rates of stillbirth.


This session describes how the SBBIP utilised a modified IHI Breakthrough Series Collaborative (BSC) improvement methodology approach to implement statewide antenatal education and care of pregnant women and their families, addressing avoidable contributing factors within 45 diverse locations across Queensland. Results showed improvements across all process measures.


This project shares the lessons learned from this large statewide project which was successful despite roll-out during the COVID-19 pandemic.


Colette McIntyre Clinical Excellence Queensland; Australia
Michael Rice Clinical Excellence Queensland; Australia