Maternal and neonatal mortality and morbidity associated with childbirth is a problem of the highest priority. This research has been aimed at testing a modified version of the WHO Safe childbirth checklist in one Italian hospital and to evaluate the tool in terms of its impact on clinical practice and safety. Results show that the presence of correctly compiled partogram tool is strongly and significantly associated with the checklist implementation (OR= 14.9, 95% confidence interval [CI] =3.5, 63.9). Compliance to the checklist was high for midwives (96%) and very low for obstetricians (3%). The discrepancy is the result of a misinterpretation by obstetricians: they signed only in case they prescribed therapy or when they identified risk factors, but not to underline that they checked for those factors independently by their existence. While the checklist promotes the interdisciplinary work, field studies generally show strong hierarchical rather than partnership interaction
Safety and quality in maternal and neonatal care: the introduction of the modified WHO Safe Childbirth Checklist / Albolino, Sara; Dagliana, Giulia; Illiano, Dariana; Tanzini, Michela; Ranzani, Francesco; Bellandi, Tommaso; Fusco, Ismaele; Bellini, Irene; Carreras, Giulia; Di Tommaso, Mariarosaria; Tartaglia, Riccardo.. - In: ERGONOMICS. - ISSN 1366-5847. - ELETTRONICO. - (2017), pp. 1-9. [10.1080/00140139.2017.1377772]
Safety and quality in maternal and neonatal care: the introduction of the modified WHO Safe Childbirth Checklist
DI TOMMASO, MARIAROSARIA;
2017
Abstract
Maternal and neonatal mortality and morbidity associated with childbirth is a problem of the highest priority. This research has been aimed at testing a modified version of the WHO Safe childbirth checklist in one Italian hospital and to evaluate the tool in terms of its impact on clinical practice and safety. Results show that the presence of correctly compiled partogram tool is strongly and significantly associated with the checklist implementation (OR= 14.9, 95% confidence interval [CI] =3.5, 63.9). Compliance to the checklist was high for midwives (96%) and very low for obstetricians (3%). The discrepancy is the result of a misinterpretation by obstetricians: they signed only in case they prescribed therapy or when they identified risk factors, but not to underline that they checked for those factors independently by their existence. While the checklist promotes the interdisciplinary work, field studies generally show strong hierarchical rather than partnership interactionFile | Dimensione | Formato | |
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