A quality improvement tool - driver diagram: a model of driver diagram to reduce primary caesarean section rates

Naima Fathima


Background: Quality improvement in health care is emerging as a science with proven, effective tools and methodologies. This article aims at presenting the importance of adopting one of the effective and simple methodologies and gives an example of a Driver Diagram in obstetrics.

Methods: Usefulness of driver diagram in understanding the aim and the interventions or changes.

Results: Various quality improvement tools can be used in the clinical context. Among them, driver diagram is most widely used at the start of an improvement initiative. The driver diagram in this article shows its applicability in one of the clinical aspects of obstetrics, to reduce primary caesarean section rates.

Conclusions: Driver diagram is an easy and a simple tool widely used in quality improvement activities. It is essential to use at the beginning of improvement initiatives.  


Quality improvement, Driver diagram, Quality improvement tools, Primary caesarean section, Labour dystocia

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