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Construction and pilot test of a set of indicators to assess the implementation and effectiveness of the who safe childbirth checklist

Overview of attention for article published in BMC Pregnancy and Childbirth, May 2018
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Title
Construction and pilot test of a set of indicators to assess the implementation and effectiveness of the who safe childbirth checklist
Published in
BMC Pregnancy and Childbirth, May 2018
DOI 10.1186/s12884-018-1797-y
Pubmed ID
Authors

Pedro J. Saturno-Hernández, María Fernández-Elorriaga, Ismael Martínez-Nicolás, Ofelia Poblano-Verástegui

Abstract

The World Health Organization (WHO) launched the "Safe Childbirth Checklist (SCC) Collaboration" in 2012. The SCC is designed to contribute to quality care by providing reminders of evidence-based practices for the prevention and management of the leading causes of maternal and neonatal morbidity and mortality. However, indicators to monitor the implementation and effectiveness of the SCC have not been defined. This study aimed to produce and pilot test a set of valid, reliable and feasible indicators to assess the implementation and effectiveness of the SCC, with an emphasis on best practices. As part of the WHO Collaboration, the SCC was adapted to the Mexican context, and a set of indicators was developed to assess the SCC use and adherence to SCC-related best practices. The indicators were pilot tested in three hospitals for feasibility and reliability using the prevalence- and bias-adjusted kappa index (PABAK) for multiple independent evaluators (initial sample, n = 47; second sample, n = 30 to re-test reliability). The data sources were clinical records and cognitive tests drawn from questionnaires to mothers and health professionals. We generated 53 indicators, and 38 of the indicators (those related to best practices and outcomes) were pilot tested. Of these, 26 relate to care for the mother (20 were measured based on clinical records and 6 via questionnaire), and 12 relate to newborn care (9 were medical record-based and 3 were from questionnaires). Feasible indicators were generally also reliable (PABAK≥0.6). Routine feasibility is affected by the frequency of assessed events. The generated indicators allow an assessment of the implementation and effectiveness of the SCC and the monitoring of quality of care during childbirth and the immediate postpartum period.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 75 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 75 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 14 19%
Researcher 9 12%
Student > Bachelor 9 12%
Student > Ph. D. Student 8 11%
Librarian 4 5%
Other 12 16%
Unknown 19 25%
Readers by discipline Count As %
Nursing and Health Professions 14 19%
Medicine and Dentistry 14 19%
Social Sciences 7 9%
Pharmacology, Toxicology and Pharmaceutical Science 3 4%
Arts and Humanities 3 4%
Other 11 15%
Unknown 23 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 April 2019.
All research outputs
#13,243,657
of 23,052,509 outputs
Outputs from BMC Pregnancy and Childbirth
#2,411
of 4,245 outputs
Outputs of similar age
#161,152
of 326,010 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#105
of 150 outputs
Altmetric has tracked 23,052,509 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,245 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.9. This one is in the 42nd percentile – i.e., 42% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 326,010 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 49th percentile – i.e., 49% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 150 others from the same source and published within six weeks on either side of this one. This one is in the 29th percentile – i.e., 29% of its contemporaries scored the same or lower than it.