IMPROVING ADHERANCE TO THE WHO SAFE CHILDBIRTH CHECKLIST (SCC) IN A BRAZILIAN MATERNITY
Midwifery; Quality Improvement; Patient Safety.
Introduction: In Brazil, the Maternal Mortality Ratio remains high, and even with the decrease in infant mortality, avoidable neonatal mortality continues to be responsible for most deaths. The World Health Organization (WHO) proposes a way to improve care and increase adherence to safe practices in childbirth, it is the use of the Checklist for Safe Childbirth. Even with the evidence that its use can increase the performance of good practices in childbirth, the continuous use of LVPS is still a challenge. Objective: To increase adherence to the WHO Safe Birth Checklist (LVPS) in high-risk maternity hospital in northeastern Brazil. Method: This is a quasi-experimental study (without control group), of time series, with measurement of twelve fortnights before and twelve fortnights after the interventions, totaling 720 medical records (360 before and 360 post-intervention). The project follows the steps of an improvement cycle. The study of the causes, analysis of the baseline and participatory planning of the interventions were carried out. Preliminary Results: the main cause identified for low adherence was the lack of knowledge of the importance of the instrument; the baseline assessment identified a low overall adherence, variable adherence was observed between the phases of the list. The planning of interventions mainly involves educational activities.