This implementation project is complete.
PCORI implementation projects promote the use of findings from PCORI-funded studies in real-world healthcare and other settings. These projects build toward broad use of evidence to inform healthcare decisions.
This PCORI-funded implementation project put a childbirth experience survey in place at 16 diverse hospitals in California.
|Hospitals often use surveys to understand how patients experience care. They can use the information to improve care for patients and their families. But these surveys usually ask general questions and may not provide helpful information about the experience of childbirth.|
What was the goal of this implementation project?
To help hospitals learn about patients’ experiences with their care during and after childbirth, a PCORI-funded research study developed a set of questions that hospitals can draw from to create surveys. The research team then developed the Childbirth Experience Survey using these questions.
This project helped hospitals put the Childbirth Experience Survey in place to support improved care for patients during and after childbirth.
What did this project do?
The project team put the survey in place at 16 diverse hospitals in California. Before childbirth, patients reported what parts of care were important to them. Two to three months after childbirth, patients reported on their experience and satisfaction with their care. The survey was available in English and Spanish.
As part of the project, the project team:
- Created an online platform to collect answers to survey questions from the different hospitals.
- Worked with hospitals to identify patients from childbirth classes, hospital tours, or delivery registration lists and enroll them as survey participants.
- Provided reports with survey responses to each hospital and showed how hospitals could use the information to improve care.
- Created a learning collaborative where hospitals learned from one another about how to use results from the survey.
The project team also updated the survey to ask about care during the COVID-19 pandemic.
What was the impact of this project?
The project demonstrated how hospitals can use the survey to collect information about patients’ childbirth experience. During the project, 1,803 patients completed surveys. More than 440 patients completed surveys both before and after childbirth.
The survey results helped hospital staff learn about childbirth practices at their hospitals. For example, most hospital staff thought that the practice of placing newborns skin-to-skin with the birthing parent happened regularly. But survey responses suggested that this practice didn’t occur as often as hospital staff thought.
Hospitals used the survey results to improve care. At one hospital, the survey found patient concerns with the quality of epidurals. This hospital started a project to look at epidurals and track patient satisfaction with this part of care.
More about this implementation project:
Stakeholders Involved in This Project
Publicly Accessible Project Materials
For more information about these materials, please contact the project team at [email protected].
The project team developed these materials, which may be available for free or require a fee to access. Please note that the materials do not necessarily represent the views of PCORI and that PCORI cannot guarantee their accuracy or reliability.
To document implementation:
To assess healthcare and health outcomes:
Study Registration Information
Initial PCORI-Funded Research Study
This implementation project focuses on putting findings into practice from this completed PCORI-funded research study: Developing an Item Bank of Survey Questions to Measure Women's Experiences with Childbirth in Hospitals