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Safety and Quality of Maternal and Neonatal Pathway: Implementation of the Modified WHO Safe Childbirth Checklist in Two Hospitals of the Tuscany Center Trust, Italy

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Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) (IEA 2018)

Part of the book series: Advances in Intelligent Systems and Computing ((AISC,volume 818))

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Abstract

Data monitoring and reporting systems are extremely important for safety and quality of care. The use of tools to support the work of health professionals in managing clinical risk is widespread particularly in high income countries. In 2008 the World Health Organization designed a checklist for the safety during childbirth (safe Childbirth Checklist) initially dedicated to low and middle-income countries, now available also for developed countries. Two studies have been conducted by the Centre for clinical risk management and Patient safety (Florence) in hospitals in Tuscany with the aim of evaluating the impact of a modify version of the WHO checklist on clinical practice, the usability of the tool and the users’ compliance through prospective pre- and post-intervention studies based on clinical records review. The effects of the checklist on professionals’ adherence to clinical practices and on the standardization of processes have been investigated, in order to design and refine the tool. Both studies show that the presence of correctly compiled partogram tool in the clinical charts is strongly and significantly associated with the checklist implementation (OR1 = 14.9, 95% confidence interval [CI] = 3.5, 63.9 and OR2 = 2.51, 95% confidence interval [CI] = 1.41−4.47) and that the checklist promotes the interdisciplinary work.

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Correspondence to S. Albolino .

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Albolino, S. et al. (2019). Safety and Quality of Maternal and Neonatal Pathway: Implementation of the Modified WHO Safe Childbirth Checklist in Two Hospitals of the Tuscany Center Trust, Italy. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_80

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