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PIECING TOGETHER SAFE CHILDBIRTHExploring Simple, Life-Saving Checks Across the Childbirth Continuum                      ...
Surgical Checklist: Results             Results – All Sites                        Baseline   Checklist   P valueCases    ...
EWEC IWG Checklist TF       Strategy Selection Criteria•   Potential impact•   Simplicity & user-friendliness•   Feasibili...
Piece 2: At the Time of Delivery
Childbirth Checklist: Pause Points                          Pause point #2                                                ...
SfC il ir C ek t rg m a hd t hcl Por  e   bh      is   a
SfC il ir C ek t rg m a hd t hcl Por  e   bh      is   a
Childbirth Checklist Pilot Study                                 On admission            At delivery                  Soon...
Checklists: Theories of Change• Prompt at key moments in care• Define essential tasks• Highlight system malfunction• Impos...
Piece 1: During Pregnancy
Piece 3: In the Postpartum/Postnatal Period
Acknowledgments      IWG Task Force on ChecklistsChairsScott Ratzan, Jonathan SpectorMembersAngela Lashoher, Claire Lemer,...
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum
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Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum

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Piecing Together Safe Childbirth: Exploring Simple, Life-Saving Checks Across the Childbirth Continuum

  1. 1. PIECING TOGETHER SAFE CHILDBIRTHExploring Simple, Life-Saving Checks Across the Childbirth Continuum Every Woman Every Child Innovation Working Group Task Force on Checklists Interim Progress Report April 2012
  2. 2. Surgical Checklist: Results Results – All Sites Baseline Checklist P valueCases 3733 3955 -Death 1.5% 0.8% 0.003Any Complication 11.0% 7.0% <0.001SSI 6.2% 3.4% <0.001Unplanned Reoperation 2.4% 1.8% 0.047
  3. 3. EWEC IWG Checklist TF Strategy Selection Criteria• Potential impact• Simplicity & user-friendliness• Feasibility for testing• Feasibility for scaling• Applicability across countries• Link to EWEC goals
  4. 4. Piece 2: At the Time of Delivery
  5. 5. Childbirth Checklist: Pause Points Pause point #2 Pause point #3 Just before pushing Soon after birth (or before Cesarean)Pause point #1 (within 1 hour) On admission Pause point #4 Delivery Before Discharge Labor progression Postpartum Admission to birth facility Discharge from birth facility Labor onset Antenatal period 28 days Conception 42 days Pre-conception Time
  6. 6. SfC il ir C ek t rg m a hd t hcl Por e bh is a
  7. 7. SfC il ir C ek t rg m a hd t hcl Por e bh is a
  8. 8. Childbirth Checklist Pilot Study On admission At delivery Soon after birth (within one hour) Before discharge*P value = 0.052; all others p < 0.001
  9. 9. Checklists: Theories of Change• Prompt at key moments in care• Define essential tasks• Highlight system malfunction• Impose conceptual structure• Increase team communication• Facilitate essential dialogue
  10. 10. Piece 1: During Pregnancy
  11. 11. Piece 3: In the Postpartum/Postnatal Period
  12. 12. Acknowledgments IWG Task Force on ChecklistsChairsScott Ratzan, Jonathan SpectorMembersAngela Lashoher, Claire Lemer, Sarah Marsh, Garrett Mehl, MarcMitchell, Ida Neuman, Prabhjot SinghAdvisory GroupFranklin Apfel, Gary Darmstadt, Lord Darzi of Denham, Karlee Sliver,Bruce Gellin, Atul Gawande, Barry Bloom, Flavia Bustreo, Ian Pett,Anayda Portela, Mario Merialdi, Patricia Mechael, Jean-Marie Okwo-Bele, Ian Pett, Joanna Rubenstein, Sonia Ehrlich Sachs, AlexandraSchoeb, Karlee Silver, Severin von XylanderSupportAlice Fabiano, Grace Galvin, Amanda McKelvey, and Ade Obayemi

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