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首页> 外文会议>International Ergonomics Association, Congress >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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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

机译：母婴和新生道途径的安全和质量：实施意大利托斯卡纳中心信托托斯卡纳中心信托的两家医院安全分娩清单的修改

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摘要

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 (OR_1= 14.9, 95% confidence interval [CI]= 3.5, 63.9 and OR_2= 2.51, 95% confidence interval [CI]= 1.41-4.47) and that the checklist promotes the interdisciplinary work.
机译：数据监控和报告系统对于安全和护理质量来说非常重要。使用工具支持卫生专业人员在管理临床风险中的工作尤其普遍存在高收入国家。 2008年，世界卫生组织为最初致力于低收入和中等收入国家的分娩时（安全分娩清单）设计了一份清单，现在也适用于发达国家。托斯卡纳的医院临床风险管理和患者安全（佛罗伦萨）中心进行了两项研究，目的是评估WHO清单的修改版本对临床实践的影响，工具和用户的可用性基于临床记录审查的前瞻性前后研究遵守。清单对专业人员遵守临床实践以及对过程标准化的影响，以设计和改进工具。这两项研究表明，临床图表中正确编制了正确的分析工具，与清单实施（OR_1 = 14.9,95％置信区间[CI] = 3.5,63.9和OR_2 = 2.51,95％置信区间[ CI] = 1.41-4.47），清单促进跨学科工作。

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