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emergency caesarean sections or third degree perineal tears the clinical practice needs to be monitored to identify contributing factors such as errors in fetal monitoring or failed instrumental deliveries. This may help identify a ‘training issue’ with regard to instrumental vaginal births that could be easily rectified by conducting ‘one to one’ hands on training. Similarly, monitoring patient ‘complaints and compliments’ may identify areas in maternity service, which need to be improved. Once compliance with the ‘locally set’ standard has been achieved and monitored for some time, it may be removed from the Maternity Dashboard and new parameters may be considered for monitoring. It is important to use the Maternity Dashboard as a ‘dynamic’ clinical governance tool to monitor evolving risks and performance issues in a maternity unit. To ensure a systematic approach, individual parameters may be grouped under broad categories (e.g. ‘clinical activity’, ‘workforce’, ‘risk management’ and ‘responsive care’) on the Maternity Dashboard.

The role of clinical dashboards in improving patient care: experience with the ‘Maternity Dashboard’