Improvement in Documentation Using an Electronic Checklist for Shoulder Dystocia Deliveries

Abstract

II.

Geriatric assessment in undergraduate geriatric education – a structured interpretation guide improves the quantity and accuracy of the results: a cohort comparison

“…Substantial rates of under-documentation by medical students were already shown by Szauter et al and Worzala et al for the context of post-encounter notes, possibly due to forgetfulness or inaccurate decisions on what is relevant and what is not [19,20]. In accordance with the results of the present study, Deering et al showed that the use of a standard checklist as a documentation aid results in significantly improved delivery notes for shoulder dystocia [21]. …”

A Survey of Central Association Members About the Definition, Management, and Complications of Shoulder Dystocia

“…Several authors have commented that these items are key components of shoulder dystocia checklists and can be helpful should litigation ensure. [11][12][13] The belief that all brachial plexus injuries result from inappropriate maneuvers at delivery has no scientific foundation. 1,2,14 In the past 10 -15 years, epidemiologic data, case studies, and computer modeling have all provided support to the theory that brachial plexus stretch and injury can result from maternal forces when the neonate's shoulder presses against the bony pelvis of the mother.…”

The sequential effect of computerized delivery charting and simulation training on shoulder dystocia documentation

“…As this study evaluated only physicians-intraining, limited applicability to attending physician exists. A follow-up study by Deering et al [4] evaluated a standardized electronic checklist of key elements deemed necessary to be included in the delivery note. A total of 128 SD notes were reviewed (46 cases prior to, and 82 cases after, implementation of the checklist).…”

“…Similarly, Deering et al [4] recently demonstrated that implementation of an electronic checklist improves the completeness of documentation of SD events in an Army Hospital. Additionally, studies by Deering et al [5] and Goffman et al [6], demonstrate that standardized SD drills may aid in completeness of documentation.…”