IHI Improving Perinatal Care Driver Diagram

Institute for Healthcare Improvement
Cambridge, Massachusetts, USA​

This driver diagram was developed as part of the IHI Perinatal Improvement Community. A driver diagram is a kind of tree diagram, a tool to conceptualize an issue and its system components that helps to demonstrate a pathway to achieve the desired outcome.

The Perinatal Driver Diagram presents four primary drivers for reducing perinatal harm (adverse events), improving care, and supporting healing:
  • Perinatal Leadership
  • Reliable Design/Reduce Variation
  • Effective Peer Teamwork
  • Respectful Patient Partnership


Background
Teams participating the IHI Perinatal Improvement Community are using the driver diagram in conjunction with the IHI Perinatal Bundles to improve perinatal care and reduce harm.

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  • Augmentation Bundle Compliance Data Collection Tool
    Use this data collection tool when implementing the Augmentation Bundle, a component of the IHI Perinatal Bundles, to measure Augmentation Bundle Compliance.
  • Elective Induction Bundle Compliance Data Collection Tool
    Use this data collection tool when implementing the Elective Induction Bundle, a component of the IHI Perinatal Bundles, to measure Elective Induction Bundle Compliance.
  • IHI Perinatal Trigger Tool
    The Perinatal Trigger Tool provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse events causing any physical harm to the infant or mother.
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