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<p>Texas Children’s Hospital in Houston is reporting continued success with a program that reduced the rate of episiotomies from 9.11% of births to 3.44%. The hospital used a five-step approach that focused on publicizing the rate of episiotomies and encouraging physicians to improve their individual rates. The hospital’s experience is an example of how some quality improvement efforts may take time to implement, but can produce long-lasting results.</p>

Hospital Reduces Episiotomies with Transparency on Peer Rates