Reducing practice variability in obstetric anesthesia through a structured, team-based implementation strategy: a quality improvement study
Authors' conclusion
This quality improvement initiative achieved near-complete self-reported practice standardization within 10 months at minimal cost, offering a reproducible template for translating SOAP recommendations into institutional practice.
Study context
- Population
- Anesthesiologists providing obstetric anesthesia care in a tertiary-care private hospital in Brazil, February–December 2025
- Participants
- 21 anesthesiologists
- Exposure
- Peer-led implementation (weekly meetings + digital pocket guide) based on Society for Obstetric Anesthesia and Perinatology (SOAP) Centers of Excellence benchmarks, pre vs post intervention
- Outcome
- Self-reported adoption of team-agreed clinical practices (20-question survey)
- Follow-up
- Post-intervention
Methodological detailssingle-centre, pre-post, survey-based
- Single-centre
- Pre-post
- Survey-based
Main finding
As reported in the abstract
Survey response rate
76.2%
Programmed intermittent epidural bolus analgesia use, pre-intervention
6.25%
Programmed intermittent epidural bolus analgesia use, post-intervention
93.75%
Prophylactic norepinephrine infusion adopted
93.75%
Observational data: associations, not effects.
Further findings
Residual barriers
- Technical confidence, interprofessional resistance and logistical difficulty
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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