Safe behaviours and acceptance of the use of checklists in urban obstetric units in Colombia
Keywords:
Patient safety, Obstetrics, Gynecology, Maternal mortality, Infant mortality
Abstract
Introduction: The use of checklists in healthcare, has proven to be a useful means for improving safety in care and reducing errors and adverse events; however, acceptance and use by healthcare practitioners is still an important problem.
Objective: To describe the degree of knowledge and acceptance of the use of checklists, and to determine the percentage of safe practices performed by healthcare workers during obstetric care in obstetrics and gynaecology units in Colombia.
Method: Cross-sectional observational study. The sample consisted of healthcare teams of the obstetric areas in three institutions. The acceptance survey was given based on convenience sampling to 38 healthcare workers in institution A, 74 in institution B and 50 in institution C, and 29 maternal care observations were made in each institution.
Results: It was found that healthcare workers are aware of the checklists, have used them or are using them, and show and intermediate level of favourable attitudes, institution A being the one with the most favourable attitude towards their use. The three institutions had similar percentages of compliance with safe behaviours (72-79%), but some had lower values in areas such as confirming or administering antibiotics, compliance with the hand washing protocol, and processes related to patient or family education.
Conclusions: Healthcare professionals working in the obstetric units assessed had, at the time, knowledge and experience with the use of checklists and relatively good attitudes towards them; moreover, the level of compliance with safe behaviours was medium to high.
References
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18. Maziero ECS, Silva AEBdC, Mantovani MdF, Cruz EDdA. Adherence to the use of the surgical checklist for patient safety. Rev Gaúcha Enfermagem. 2015;36:14-20.
19. Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, Dziekan G, et al Improving qualit of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist program. PLoS One. 2012;7:e35151.
20. Amaya Arias AC, Gómez Buitrago LM. Efectividad de un programa para mejorar el trabajo en equipo en salas de cirugía. Rev Colomb Anestesiol. 2015;43:68-75.
21. Gómez Buitrago LM. La lista de chequeo: un estándar de cuidado. Rev Colomb Anestesiol. 2013;41:182-3.
22. González JIB, Garrido AR. Higiene de manos, protagonismo para el paciente. Enfermería Clínica. 2013;23:137-9.
23. Amaya Arias AC, Cortés ML. Validació de una encuesta para evaluar la aceptación del uso de Listas de Chequeo en salud. In: XXXV Congreso Interamericano de Psicología. Perú 2015.
24. Organización Mundial de la Salud. Mortalidad materna. [Internet.; 2015 [cited 2016 Mar 09; [about 1 p. Available from: http://www.who.int/mediacentre/factsheets/fs348/es/.
25. Vandijck D, Bergs J. The WHO surgical safety checklist: an innovative or an irrelevant tool? Acta Anaesth Belg. 2014;65:51-3.
26. Vizcaino MPM, Ortín PV, Arruga IY, de la Fuente Calixto A, Garde JG, Irure EI, et al. Implantación y evaluación de una estratégia integral para la mejora de la seguridad de los pacientes quirúrgicos. Pamplona: Hospital de Navarra; 2010.
27. Althabe F, Buekens P, Bergel E, Belizán JM, Campbell MK, Moss N, et al. A behavioral intervention to improve obstetrical care. N Engl J Med. 2008;358:1929-40.
28. Arribalzaga EB, Lupica L, Delor SM, Ferraina PA. Implementación del listado de verificación de cirugía segura. Rev Argentina Cirugía. 2012;102:8-12.
2. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AS, Dellinger EP, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-9.
3. Lingard L, Espin S, Rubin B, Whyte S, Colmenares M, Baker GR, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Quality Safety Health Care. 2005;14:340-6.
4. Arrea Baixench C. ¿Ha sido provechoso el uso de listas de chequeo en el ejercicio de la Medicina? Acta Médica Costarricense. 2012;54:202-3.
5. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AHS, Dellinger EP, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Quality Safety. 2011;20:102-7.
6. Fourcade A, Blache J-L, Grenier C, Bourgain J-L, Minvielle E. Barriers to staff adoption of a surgical safety checklist. BMJ Quality Safety. 2011;7:2011.
7. Bóhmer AB, Wappler F, Tinschmann T, Kindermann P, Rixen D, Bellendir M, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56:332-8.
8. Nilsson L, Lindberget O, Gupta A, Vegfors M. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54:176-82.
9. Rodrigo-Rincón MI, Tirapu-León B, Zabalza-López P, Martín-Vizcaino MP, de La Fuente-Calixto A, Villalgordo-Ortín P, et al. Percepción de los profesionales sobre la utilización y la utilidad del listado de verificación quirúrgica. Rev Calidad Asistencial. 2011;26:380-5.
10. Berenholtz SM, Schumacher K, Hayanga AJ, Simon M, Goeschel C, Pronovost PJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. J Comm J Qual Patient Saf. 2009;35:391-7.
11. Organización Mundial de la Salud OMS. Patient safety. Ginebra [Internet: WHO Safe Childbirth Checklist; 2015 [cited 2016 Jan 12; [about 1 p. Available from: http://www.who.int/patientsafety/implementation/checklists/childbirth/en/.
12. Asociación Médica Mundial. Declaración De Helsinki. [Internet; 2002 [cited 2011 Feb; Available from: http://www.upo.es/general/investigar/otri/otri_docu/pn/Decl.Helsinki.pdf.
13. CIOMS. Pautas éticas internacionales para la investigación biomédica en seres humanos CIOMS-OMS de Ginebra. [Internet.; 2002 [cited Feb 2011; http://www.paho.org/Spanish/BIO/CIOMS.pdf.
14. McCambridge J, Witton J, Elbourne DR. Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2014;67:267-77.
15. Organización Munidal de la Salud (OMS). Lista OMS de verificación de la seguridad del parto. Ginebra [Internet.; 2016 [cited 2016 Oct 4; Available from: http://www.who.int/patientsafety/implementation/checklists/childbirth/es/.
16. Ministerio de Salud y Proteccion. Guías de Práctica Clínica para la prevención, detección temprana y tratamiento de las complicaciones del embarazo, parto o puerperio. Bogotá [Internet.; 2013 [cited 2016 Mar 10; [about 623 p.; Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/INEC/IETS/Gu%C3%ADa.completa.Embarazo.Parto.2013.pdf.
17. Ronsmans C, Etard JF, Walraven G, Hoj L, Dumont A, de Bernis L, et al. Maternal mortality and access to obstetric services in West Africa. Trop Med Int Health. 2003 Oct;8:940-8.
18. Maziero ECS, Silva AEBdC, Mantovani MdF, Cruz EDdA. Adherence to the use of the surgical checklist for patient safety. Rev Gaúcha Enfermagem. 2015;36:14-20.
19. Spector JM, Agrawal P, Kodkany B, Lipsitz S, Lashoher A, Dziekan G, et al Improving qualit of care for maternal and newborn health: prospective pilot study of the WHO safe childbirth checklist program. PLoS One. 2012;7:e35151.
20. Amaya Arias AC, Gómez Buitrago LM. Efectividad de un programa para mejorar el trabajo en equipo en salas de cirugía. Rev Colomb Anestesiol. 2015;43:68-75.
21. Gómez Buitrago LM. La lista de chequeo: un estándar de cuidado. Rev Colomb Anestesiol. 2013;41:182-3.
22. González JIB, Garrido AR. Higiene de manos, protagonismo para el paciente. Enfermería Clínica. 2013;23:137-9.
23. Amaya Arias AC, Cortés ML. Validació de una encuesta para evaluar la aceptación del uso de Listas de Chequeo en salud. In: XXXV Congreso Interamericano de Psicología. Perú 2015.
24. Organización Mundial de la Salud. Mortalidad materna. [Internet.; 2015 [cited 2016 Mar 09; [about 1 p. Available from: http://www.who.int/mediacentre/factsheets/fs348/es/.
25. Vandijck D, Bergs J. The WHO surgical safety checklist: an innovative or an irrelevant tool? Acta Anaesth Belg. 2014;65:51-3.
26. Vizcaino MPM, Ortín PV, Arruga IY, de la Fuente Calixto A, Garde JG, Irure EI, et al. Implantación y evaluación de una estratégia integral para la mejora de la seguridad de los pacientes quirúrgicos. Pamplona: Hospital de Navarra; 2010.
27. Althabe F, Buekens P, Bergel E, Belizán JM, Campbell MK, Moss N, et al. A behavioral intervention to improve obstetrical care. N Engl J Med. 2008;358:1929-40.
28. Arribalzaga EB, Lupica L, Delor SM, Ferraina PA. Implementación del listado de verificación de cirugía segura. Rev Argentina Cirugía. 2012;102:8-12.
How to Cite
1.
Amaya-Arias AC, Cortés ML, Franco D, Mojica JD, Hernández S, Eslava-Schmalbach J. Safe behaviours and acceptance of the use of checklists in urban obstetric units in Colombia. Colomb. J. Anesthesiol. [Internet]. 2017 Jan. 1 [cited 2024 Apr. 15];45(1):22-30. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/43
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Published
2017-01-01
How to Cite
1.
Amaya-Arias AC, Cortés ML, Franco D, Mojica JD, Hernández S, Eslava-Schmalbach J. Safe behaviours and acceptance of the use of checklists in urban obstetric units in Colombia. Colomb. J. Anesthesiol. [Internet]. 2017 Jan. 1 [cited 2024 Apr. 15];45(1):22-30. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/43
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