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

  • S. AlbolinoEmail author
  • G. Dagliana
  • T. Bellandi
  • N. Gargiani
  • F. Ranzani
  • I. Fusco
  • A. Maggiali
  • L. Ventura
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 818)


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 (OR1 = 14.9, 95% confidence interval [CI] = 3.5, 63.9 and OR2 = 2.51, 95% confidence interval [CI] = 1.41−4.47) and that the checklist promotes the interdisciplinary work.


Checklist Health care professionals’ compliance Usability 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • S. Albolino
    • 1
    Email author
  • G. Dagliana
    • 1
  • T. Bellandi
    • 1
  • N. Gargiani
    • 2
  • F. Ranzani
    • 1
  • I. Fusco
    • 3
  • A. Maggiali
    • 4
  • L. Ventura
    • 5
  1. 1.Centre for Clinical Risk Management and Patient SafetyWHO Collaborating Centre in Human Factor and Communication for the Delivery of Safe and Quality CareFlorenceItaly
  2. 2.Human Health Science DepartmentUniversity of FlorenceFlorenceItaly
  3. 3.Centre for Clinical Risk Management and Patient SafetyTuscany Centre Trust, Regional Healthcare of TuscanyFlorenceItaly
  4. 4.Tuscany Center Trust, Regional Healthcare of TuscanyFlorenceItaly
  5. 5.ISPOFlorenceItaly

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