Bundle Research
The Clinical Excellence Commission (CEC) has partnered with the Stillbirth Centre for Research Excellence (CRE), NSW Health, Safer Care Victoria, and the Queensland Clinical Excellence Division, in a national initiative to reduce the number of stillborn babies.
In NSW there is a targeted research strategy that will explore the implementation of the bundle into health services. NSW has four Local Health Districts, with a total of 24 hospitals, involved in the research arm:
- Hunter New England
- Central Coast
- South West Sydney and
- Western Sydney.
These sites were elected because of a combination of factors including stillbirth rates, smoking in pregnancy rates, indigenous population, culturally and linguistically diverse populations, and geographical population representing remote/rural, regional, and metropolitan areas.
From 2019 the CEC have been working in partnership with key NSW networks to support the statewide implementation. The networks include the Maternity Risk Network, the Clinical Midwifery Consultants Network, the Midwifery Managers Network, and the Primary Health Network.
Contact CEC-saferbabybundle@health.nsw.gov.au for further information.
NSW Safer Baby Bundle Measurement Strategy
Measuring and collecting data is a critical part of testing and implementing changes and can indicate whether the changes lead to improvement and safer care or not.
The Safer Baby Bundle has a data collection strategy with key measures that can be used to examine improvement. Outcome, process, and balancing measures are included in the strategy for teams to observe and evaluate change initiatives.
This measurement approach can show us several important pieces of information, such as:
- How well our current process is performing
- Whether we have reached an aim
- How much variation is in our data and/or processes
- Small tests of change
- Whether the changes have resulted in improvement and
- Whether a change has been sustained.
This information can also help motivate teams by demonstrating the importance of their role in improving the safety of their patients.
How can clinicians access the data?
The Quality Improvement Data System (QIDS) provides users at all levels of an organisation with a single point of access to information and tools for the purpose of improving the quality and safety of health service delivery. QIDS transforms data from several sources into a unified platform with standardised and customisable analytic and improvement tools. It enables users to translate raw data into insights such as current outcomes, trends over time, unwanted clinical variation, harm, and outcome measures of improvement innovations.
In 2021, QIDS MatIQ became available allowing you to create up-to-date maternity reports using your own public hospital eMaternity data and benchmark against other Local Health Districts (LHDs), facilities with the same capability service level and state-wide data.
eMaternity data from 13 of the 15 LHDs can be visualised back to January 2020 using the QIDS MatIQ system, and the data are refreshed weekly.
Planned changes to Cerner PowerChart Maternity will assist with electronic data collection for the remaining two LHDs moving forward, to ensure data monitoring for all NSW Maternity Service Providers is available.
The Maternity Safety Intelligence System (QIDS MatIQ) can be accessed via QIDS.
QIDS can be accessed via NSW Health intranet, or internet for the Improvement Project module only. Local user access is managed by the Health Entity nominee and/or the Improvement Project Admin account holder.