| Concha-Torre et al.(99. Concha-Torre A, Díaz Alonso Y, Álvarez Blanco S, Vivanco Allende A, Mayordomo-Colunga J, Fernández Barrio B. Las listas de verificación: ¿una ayuda o una molestia?. An Pediatr (Engl Ed). 2020;93(2):135.e1-135.e10. Spanish.) |
IV |
Team attitudes, poor design, and skills, inadequate duplication with other worklists, cultural barriers, or the way managers present the tool |
| Albolino et al.(1515. Albolino S, Dagliana G, Meda M, Ranzani F, Tanzini M. Safety and quality of maternal and neonatal pathway: A pilot study on the childbirth checklist in 9 Italian hospitals. Procedia Manuf. 2015;3:242–9.) |
III.3 |
Low adherence of health professionals (especially gynecologists) in adopting the checklist |
| Praxedes et al.(1616. Praxedes AO, Arrais L, Araújo MA, Silva EM, Gama ZA, Freitas MR. [Assessment of adherence to the Safe Childbirth Checklist in a public maternity hospital in Northeast Brazil]. Cad Saude Publica. 2017;33(10):e00034516.) |
IV |
The main problems include cultural and structural factors, lack of understanding of the procedure for applying the list, and difficulty in recognizing the benefit perceived by the professionals involved. Inconstancy also occurs in the institutional sections |
| Amaya-Arias et al.(1717. Amaya-Arias AC, Cortés ML, Franco D, Mojica JD, Hernández S, Eslava-Schmalbach J. Safe behaviors and acceptance of checklists in gynecology and obstetrics units of three institutions in urban areas of Colombia. Rev Colomb Anestesiol. 2017;45(1):22–30.) |
IV |
Management should establish non-punitive monitoring, control, and evaluation systems to facilitate behavior changes and thus increase adherence to this type of clinical practice. Health professionals state that they know and use or would use checklists, but an intermediate degree of acceptance exists |
| Albolino et al.(1818. Albolino S, Dagliana G, Illiano D, Tanzini M, Ranzani F, Bellandi T, et al. Safety and quality in maternal and neonatal care: the introduction of the modified WHO Safe Childbirth Checklist. Ergonomics. 2018;61(1):185–93.) |
III.3 |
Poor communication between team members; hierarchy prevents interaction between physicians and nurses; and latent gender hierarchy still acts seriously limiting the safety and quality of care |
| Carvalho et al.(1919. Carvalho IC, Rosendo TM, Freitas MR, Silva EM, Medeiros WR, Moutinho NF, et al. Adaptation and validation of the World Health Organization’s safe delivery checklist for the Brazilian context. Rev Bras Saúde Mater Infant. 2018;12(3):419–36.) |
IV |
Need to assess local context and adaptations and conduct educational interventions to correctly implement the checklist |
| Senanayak et al.(2020. Senanayake HM, Patabendige M, Ramachandran R. Experience with a context-specific modified WHO safe childbirth checklist at two tertiary care settings in Sri Lanka. BMC Pregnancy Childbirth. 2018;18(1):411.) |
III.2 |
When this tool is introduced in any new environment, there is a demand for training through adequate awareness campaigns; in addition, the checklist should be included in official health facility documents to reduce duplication of work and make its use a regulatory requirement |
| Kourouma et al.(2121. Kourouma KR, Yaméogo WM, Doukouré D, Agbré Yacé ML, Tano Kamelan A, Coulibaly-Koné SA, et al. Feasibility study on the adoption of the WHO safe childbirth checklist by front-line healthcare providers and managers in Burkina Faso and Côte d’Ivoire. Pilot Feasibility Stud. 2020;6(1):150.) |
III.3 |
Increased workload due to high patient demand and tool design issues |
| Custódio et al.(2222. Custódio RJ, Kapassi LB, Alves DT, Barros AF, Melo MC, Boeckmann LM, et al. Perception of nursing professionals on the use of the safe delivery checklist. Cogitare Enferm. 2021;26:e74752.) |
IV |
A deficit in human resources, high demand for work, lack of motivation, necessary awareness for the routine use of the checklist, and lack of team involvement in the process of its implementation. Demotivation reports were also registered as employees are not released from work to participate in training |
| Molina et al.(2323. Molina RL, Benski AC, Bobanski L, Tuller DE, Semrau KE. Adaptation and implementation of the WHO Safe Childbirth Checklist around the world. Implement Sci Commun. 2021;2(1):76.) |
IV |
Skepticism about the importance or value of SCBC {?} among employees; the checklist is perceived as burdensome; lack of conducive environment; lack of leadership support for the checklist and lack of staff |
| Kaplan et al.(2424. Kaplan LC, Ichsan I, Diba F, Marthoenis M, Muhsin M, Samadi S, t a. Effects of the World Health Organization Safe Childbirth Checklist on Quality of Care and Birth Outcomes in Aceh, Indonesia. JAMA Netw. 2021;4(12):e2137168.) |
II |
Need for training and coaching to induce long-term behavioral changes and thus generate effectiveness |
| Dohbit et al.(2525. Dohbit JS, Woks NI, Koudjine CH, Tafen W, Foumane P, Bella AL, et al. The increasing use of the WHO Safe Childbirth Checklist: lessons learned at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon. BMC Pregnancy Childbirth. 2021;21(1):497.) |
III.2 |
Importance of regular training or supervision to improve adherence to essential birthing practices |
| Thomas et al.(2626. Thomas J, Voss J, Tarimo E. Safe birth matters: facilitators and barriers to uptake of the WHO safe childbirth checklist tool in a Tanzania Regional Hospital. Afr Health Sci. 2021;21(1 Suppl):44–50.) |
III.3 |
Additional training, simplified language, a reminder for essential practices, and adaptation of the tool to the work environment |
| Sousa et al.(2727. Sousa KM, Saturno-Hernández PJ, Rosendo TM, Freitas MR, Molina RL, Medeiros WR, et al. Impact of the implementation of the WHO Safe Childbirth Checklist on essential birth practices and adverse events in two Brazilian hospitals: a before and after study. BMJ Open. 2022;12(3):e056908.) |
III.3 |
Need for the training of professionals to adapt and implement the checklist and learning sessions to use and follow its implementation |
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