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WHO Safe Childbirth Checklist: The Experience of Kenya According to the WHO African Partnership for Patient Safety

机译:谁安全分娩清单:肯尼亚的经验根据WHO非洲患者安全的伙伴关系

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The burden of unsafe care is still very high all around the globe. A study conducted in 2012 in African and Middle Eastern Countries reports that in developing countries the incidence of adverse event is 8,2% and of these 83% are preventable. WHO estimates that about 287.000 are maternal deaths, 1 million fetal deaths during intrapartum period and 3 million deaths of infants during the neonatal period. WHO promoted a campaign for adopting the Safe Childbirth Checklist (SCC), that is an organized list of evidence-based essential birth practices, which targets the major causes of maternal deaths, intrapartum-related stillbirths and neonatal deaths that occur in health-care facilities. The objectives of the project are: introducing the WHO SCC in one hospital of Kenya and evaluating the locally adapted tool in terms of impact on safety and quality and its usability and feasibility. The Centre for Clinical Risk Management and Patient Safety, the Centre for Global Health, the University Hospital of Siena the Ruaraka Uhai Neema Hospital undersigned a partnership following the WHO African Partnership for Patient Safety model for implementing safety and quality in the maternal and neonatal area in particular through the use of the WHO SCC. The WHO SCC has been adopted with a positive feedback from midwifes. The childbirth checklist has increased the delivery of some essential childbirth-related care practices and the appropriateness during the administration of antibiotic therapy and antihypertensive treatment. The twinning model proposed by WHO has the potential to go far beyond patient safety issue it can advance efforts towards building resilient health systems.
机译:在全球范围内,不安全护理的负担仍然非常高。 2012年在非洲和中东国家进行的一项研究报告说,在发展中国家的情况下,不良事件的发病率为8,2%,其中83%是可预防的。世卫组织估计,约287.000人是孕产妇死亡,在新生儿期间的婴儿期间有100万胎儿死亡人员和300万人死亡。谁促进了采用安全分娩检查表(SCC)的运动,这是一个有组织的基于证据的基于循证基本出生实践列表,其针对卫生保健设施中发生的孕产妇死亡,与孕妇死养和新生儿死亡的主要原因。该项目的目标是:介绍肯尼亚医院的世卫组织SCC,并在对安全和质量的影响方面评估本地适应的工具及其可用性和可行性。临床风险管理和患者安全中心,全球卫生中心,锡耶纳大学医院罗拉卡紫菜紫外地区医院签订了一个伙伴关系,后者在妇女和新生儿地区实施安全和质量的患者安全模式的WHO非洲伙伴关系特别是通过使用WHO SCC。世卫组织SCC已经采用了助产士的积极反馈。分娩清单增加了在抗生素治疗和抗高血压治疗中提供了一些基本的分娩相关护理实践和适当性。谁提出的孪生模型有可能远远超出患者安全问题,它可以推进建立弹性卫生系统的努力。

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