Dr Penny Sheehan
speaker
716 appearances
5 recordings
1 series
first heard Jun 2026
last heard 20 Jul
Dr Penny Sheehan’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 5 in all, peaking in Jul 2026 with 3.
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reassessing women late in pregnancy to look at what risk factors might have developed during the pregnancy and talking about an appropriate time of birth.
The bundle's got very strong high-level endorsement, but implementing it on the ground is complex and involves all sorts of different systems and staff members.
We do have some research from Dr Christine Andrews, who is an implementation science researcher from Stillbirth CRE, and she looked at sites that did well with
the safer baby bundle and sites that perhaps did not perform so well.
And her learnings were that the sites that did well trained through the national e-learning package, focused on collaboration rather than leaders just saying, you must do this.
It was important for staff to own the components of the bundle and get engagement of stakeholders and especially obstetricians, I'd have to say, was key about having the bundle really work.
Access to data is also critical.
So for most improvement science and for implementation of most improvement programs, it is key that staff can audit their outcomes easily, that they can get the process measures out of their systems, and then they can look as an iterative process about how well they're doing, giving that feedback to the teams.
Some of the barriers and the common challenges, insufficient resources.
And I'm sorry to say that quality improvement takes time and resources, all sorts of quality improvement programs.
Implementing big improvement programs without really considering the resources and the time that staff require is probably not ideal.
Safer Baby Bundle initially was introduced during COVID, as it turned out, and obviously that added some extra challenges.
Some of the challenges faced included the problem of data.
So paper-based systems made it very hard, audit was required, was manual, and obviously then it was more difficult for services to work out really how they were doing.
In the Victorian implementation, Safer Care Victoria and the Institute for Healthcare Improvement, IHI, partnered with the health services and consumers to deliver the Safer Baby Collaborative.
It was an IHI breakthrough series kind of model and it offered a structured and iterative way to support the implementation.
It included maternity services being brought together to share experiences and learnings and that was a really popular component of the bundle.
That peer learning component also helped other services address their challenges as they went through.
Subsequently, Safer Care Victoria offered some new implementations of the Safer Baby Bundle in a slightly different way.
So as part of our improvement program, we worked on trying to scale and spread the
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