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///2016 Abstract Details
2016 Abstract Details2019-07-15T10:10:51-05:00

Effectiveness of three implementation programs of The WHO Safe Childbirth Checklist (WSCC) in Colombia, South America

Abstract Number: SA-42
Abstract Type: Original Research

Mauricio Vasco Anesthesiologist1 ; Luz Maria Gomez MSc2; Javier Eslava Ph.D3; Ana Amaya Msc4; Mauricio Vasco MD5; Juan Carlos Bocanegra MD6

Introduction

In 2008 WHO established The WHO Safe Childbirth Checklist (WSCC) in order to determine whether its application had any impact on maternal/neonatal mortality

In Colombia the WSCC has not been implemented and its impact is unknown therefore studies to determine its applicability and the acceptance by health professionals are needed.

Objective

To adapt, implement and evaluate the effectiveness of 3 different strategies on how to use the WSCC in Colombia

Methods

Quasi-experimental design before and after study

A baseline measurement of the 29 items included in The WSCC in 3 hospitals was performed by observers in each one of the centers

3 different interventions based on the CUSP and TeamSTEPPS programs to improve patient safety behaviors and attitudes were applied randomly one in each center

Intervention A(10 days) comprising the empowerment and active participation of administrative and clinical leaders of the center to generate a commitment to implementation of the checklist and a 2 hour educational session in which the principles on safety in childbirth, status of current practice and how to use the WSCC were addressed.Written support material were delivered

Intervention B(3 weeks) comprising the empowerment and active participation of administrative and clinical leaders of the center to generate a commitment to implementation of the checklist and an 4 hours educational session in which the principles on safety in childbirth, status of current practice and how to use the WSCC were addressed.Written support material and training time with demonstration videos and role plays were given.

Intervention C(3 months) Intervention same as intervention B plus in situ training were given. The in situ training consisted in accompaniment to professionals in the process of implementing the checklist for 2 weeks and feedback and support in handling situations that could make implementation difficult. Monitoring and supervision were provided for 2 months

Evaluation of the effectiveness and acceptance of the checklist was subsequently performed using Kirkpatrick & Kirkpatrick model which establishes that to determine the effectiveness of a training program it should take into account 4 levels of evaluation:participant reactions, evaluation of their knowledge and attitudes,skills and changes in the behavior after training and finally the impact on the organization

Results

A comparison between the baseline and the post intervention measurements of each one of the 3 groups will allow us to determine which one of the proposed strategies is more effective in improving patient safety behaviors and attitudes.Data collection is currently 75% of the total; the results will be ready to be presented in May 2016

Bibliography

1.Spector JM,et al.Improving quality of care for maternal and newborn health:prospective pilot study of the WSCC program.PLoS One.2012;7(5):e35151

2.Kirkpatrick D.Evaluating Training Programs:The four levels.Berrett-Koehler Publishers;2009

SOAP 2016