The Idealized Design of Perinatal Care is based on developing reliable clinical processes to manage second stage delivery; using principles of a safe system that include prevention, detection, and mitigation; establishing a prepared and activated team; and focusing on a woman and family as the source of control.

Applying the principles of reliability science as developed by IHI, teams are testing the implementation of two bundles: the Elective Induction Bundle and the Augmentation Bundle.

A "bundle" is a group of interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually.

Successful implementation of the bundles is based on the “all or nothing” strategy, that is, teams must comply with all components of the bundle, unless medically contraindicated.

Also see the Data Collection Tools for each bundle to measure compliance:

• Elective Induction Bundle Data Collection Tool
• Augmentation Bundle Data Collection Tool

Read more about bundles:  What Is a Bundle?