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The OASI-CB comprises four practices (antenatal discussion about OASI, manual perineal protection, mediolateral episiotomy at 60\u00b0 from the midline, and systematic examination of the perineum,\u00a0vagina and ano-rectum after vaginal birth) and was initially implemented as part of a quality improvement (QI) project\u2014\u201cOASI1\u201d\u2014in 16 maternity units across Great Britain. Evaluation of the OASI1 project found that the care bundle reduced OASI rates and identified several barriers and enablers to implementation. This paper summarises the key findings, including strengths, limitations and lessons learned from the OASI1 QI project, and provides rationale for further evaluation of the OASI-CB.<\/jats:p>","DOI":"10.1007\/s00192-021-04786-y","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T08:02:16Z","timestamp":1620979336000},"page":"1989-1995","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["The OASI care bundle quality improvement project: lessons learned and future direction"],"prefix":"10.1007","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6915-767X","authenticated-orcid":false,"given":"Magdalena","family":"Jurczuk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Posy","family":"Bidwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ipek","family":"Gurol-Urganci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van der Meulen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Sevdalis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Silverton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranee","family":"Thakar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"key":"4786_CR1","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.1111\/1471-0528.12363","volume":"120","author":"I Gurol-Urganci","year":"2013","unstructured":"Gurol-Urganci I, Cromwell DA, Edozien LC, Mahmood TA, Adams EJ, Richmond DH, et al. 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R.T. is the immediate past president of the International Urogynecological Association (IUGA). The other authors have no conflicts of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}