Outcomes of Effective Transmission of Electronic Prenatal Records From the Office to the Hospital

Pham-Thomas, Nancy; Pereira, Nigel; Powell, Ann‐Marie; Croft, Damien J.; Guilfoil, Daniel S.; Montgomery, Owen

doi:10.1097/aog.0000000000000349

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…The improvement we found in some aspects of prenatal lab completion is consistent with prior studies that have shown EHRs to be superior to paper charts in the prenatal setting. In 2014, Pham-Thomas et al found that implementation of an electronic prenatal record system increased the availability of prenatal lab results on the labor and delivery unit, and corresponded with a decrease in repeat maternal testing and immunoglobulin administration to newborns [11]. Though not specifically evaluated in our study, our results suggest that fewer rapid HIV tests had to be performed on patients upon admission to labor and delivery, as that is our standard when an HIV result is not available at that time.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, prenatal care demands an EHR that concisely transfers information between different medical settings, helps ensure prenatal care testing is completed according to standardized guidelines, and is easily accessible by and understandable to various medical personnel. Though limited, data on EHRs in the prenatal setting is positive: studies suggest that EHRs improve communication between prenatal care networks [10], increase both timeliness of prenatal laboratory testing [2] and completeness of the prenatal record [5], and decrease the rate of newborn interventions and unnecessary maternal testing [11].…”

Section: Introductionmentioning

confidence: 99%

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Does an Electronic Health Record Improve Completeness of Prenatal Studies?

McLean

Lewkowitz²,

Zlatnik³

2015

Appl Clin Inform

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SummaryObjective: To determine whether implementation of an electronic health record (EHR) would increase the rate of prenatal Human Immunodeficiency Virus (HIV) and purified protein derivative (PPD) testing.Methods: Eligible participants received prenatal care and delivered at term at a single academic institution in March-April 2011, March-April 2012, and March-April 2013. As part of routine prenatal care, all women were tested for HIV and tuberculosis (via a PPD test) during each pregnancy. The 2011 cohort was charted on paper. The 2012 and 2013 cohorts were charted via EHR. To appear in the prenatal labs display in EHR, PPD results must be manually documented, while HIV results are uploaded automatically. Documentation of PPD and HIV tests were analyzed.Results: The 2011, 2012, and 2013 cohorts had 249, 208, and 190 patients, respectively. Complete PPD and HIV results were less likely to be charted in the 2012 EHR cohort compared to the paper chart cohort (72.1% vs. 80.1%; p=0.03). This was driven by fewer documented completed PPD tests (2011 83.9% vs. 2012 72.6%; p=0.003). PPD test documentation improved non-significantly to 86.2% in the 2013 EHR cohort (p=0.5). HIV documentation rates increased from 95.2% in the paper chart cohort to 98.6% in the 2012 EHR cohort (p=0.04), and to 98.9% in the 2013 EHR cohort (p=0.03).Conclusions: EHR implementation corresponded with a marked decrease in documentation of PPD test completion. HIV documentation rates improved. PPD results were likely charted incorrectly in provider notes due to training deficiencies and lack of standardization, which did not improve significantly after retraining.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Does an Electronic Health Record Improve Completeness of Prenatal Studies?

McLean

Lewkowitz²,

Zlatnik³

2015

Appl Clin Inform

View full text Add to dashboard Cite

show abstract

“…14 In 2014, researchers reviewed 460 paper prenatal admission charts for patients admitted to the labor and delivery unit. 15 Before implementing an electronic prenatal record system, 229 charts were reviewed, and 231 were reviewed after implementation. Of the preimplementation charts, 78.2 percent contained maternal hepatitis B and HIV serology results and all post-implementation charts contained the results (P < 0.001).…”

Section: Limitationsmentioning

confidence: 99%

Completeness of Prenatal Records in Community Hospital Charts

Whitehead

Strange

Kennedy

et al. 2018

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This PDF document was made available from www.rti.org as a public service of RTI International. More information about RTI Press can be found at http://www.rti.org/rtipress. RTI International is an independent, nonprofit research organization dedicated to improving the human condition by turning knowledge into practice. The RTI Press mission is to disseminate information about RTI research, analytic tools, and technical expertise to a national and international audience. RTI Press publications are peerreviewed by at least two independent substantive experts and one or more Press editors.

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“…These include increasing access to health information [23], reducing turnaround times for receipt of laboratory test results [24], improving decision-making, and ultimately saving lives [25]. Among patients, mHealth interventions have the potential to empower them with the education and knowledge needed to make better health-related decisions, adhere to medical regimen, and have better control of their own health outcomes [16,[26][27][28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study

Itanyi

Iwelunmor

Olawepo

et al. 2023

BMC Pregnancy Childbirth

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Background Poor maternal, newborn and child health outcomes remain a major public health challenge in Nigeria. Mobile health (mHealth) interventions such as patient-held smart cards have been proposed as effective solutions to improve maternal health outcomes. Our objectives were to assess the acceptability and experiences of pregnant women with the use of a patient-held smartcard for antenatal services in Nigeria. Methods Using focus group discussions, qualitative data were obtained from 35 pregnant women attending antenatal services in four Local Government Areas (LGAs) in Benue State, Nigeria. The audio-recorded data were transcribed and analyzed using framework analysis techniques such as the PEN-3 cultural model as a guide. Results The participants were 18–44 years of age (median age: 24 years), all were married and the majority were farmers. Most of the participants had accepted and used the smartcards for antenatal services. The most common positive perceptions about the smartcards were their ability to be used across multiple health facilities, the preference for storage of the women’s medical information on the smartcards compared to the usual paper-based system, and shorter waiting times at the clinics. Notable facilitators to using the smartcards were its provision at the “Baby showers” which were already acceptable to the women, access to free medical screenings, and ease of storage and retrieval of health records from the cards. Costs associated with health services was reported as a major barrier to using the smartcards. Support from health workers, program staff and family members, particularly spouses, encouraged the participants to use the smartcards. Conclusion These findings revealed that patient-held smart card for maternal health care services is acceptable by women utilizing antenatal services in Nigeria. Understanding perceptions, barriers, facilitators, and supportive systems that enhance the use of these smart cards may facilitate the development of lifesaving mobile health platforms that have the potential to achieve antenatal, delivery, and postnatal targets in a resource-limited setting.

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Outcomes of Effective Transmission of Electronic Prenatal Records From the Office to the Hospital

Abstract: III.

Cited by 7 publications

References 10 publications

Does an Electronic Health Record Improve Completeness of Prenatal Studies?

Does an Electronic Health Record Improve Completeness of Prenatal Studies?

Completeness of Prenatal Records in Community Hospital Charts

Acceptability and user experiences of a patient-held smart card for antenatal services in Nigeria: a qualitative study

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