Comportamientos seguros y aceptación de listas de verificación en unidades de ginecobstetricia de tres instituciones de áreas urbanas de Colombia

Abstract

IntroductionThe use of checklists in health, has proven to be a useful tool for improving safety in care, reduce errors and adverse events; however, one of the main problems occur in the acceptance and use of health workers make of them. ObjectiveTo describe the degree of awareness and acceptance in the use of checklists, and to determine the percentage of safe practices performed by health workers for delivery care in 3gynecology and obstetrics units in Colombia. MethodThe sample consisted of health workers in maternal care areas of the 3institutions participating in this study. The acceptance survey was applied, using a convenience sampling, to 38 health workers in institution A, 74 in B, and 50 in C. In addition, 29 observations of maternal care were conducted in each center. ResultsIt was determined that health workers have knowledge, use or have used checklists, and show favorable attitudes to use them at an intermediate level; institution A showed more favorable attitudes towards their use. Regarding the compliance of safe behaviors, the 3institutions had similar rates of compliance (72-79%). It should be noted however, that some of the institutions had lower levels of compliance in aspects in the following areas: confirming or supplying antibiotics, hand-hygiene protocol, and processes related to the education of patients and their companions. ConclusionsWorkers from obstetrics units expressed to have, at that time, knowledge and experience in the use of checklists and somewhat favorable attitudes toward them; In addition, the level of compliance of safe behavior was in a medium-high percentage.