Improving communication between nursing shifts to improve care in Hisar District Hospital, Haryana, India
The Hisar District Hospital delivers 250 to 300 babies a month, approximately ten percent of all deliveries in the district. A quality improvement team was formed in the hospital to improve the administration of oxytocin to reduce post-partum haemorrhage. Because of workload issues, the team were not giving oxytocin to all women immediately after delivery. To resolve these issues, the team decided to try keeping prefilled syringes with oxytocin and to improve the communication about the new changes to all nurses working on different shifts. The team found that a printed notice with the message to use prefilled syringes along with staff reorientation improved knowledge of these new changes and following this, all women have received oxytocin in the first minute after delivery. These changes can be tried in other facilities also struggling with communication issues between shifts.