Promoting Perinatal Safety Using an Electronic Document Retrieval System for Prenatal Record Management in the Obstetric Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/152182
Type:
Presentation
Title:
Promoting Perinatal Safety Using an Electronic Document Retrieval System for Prenatal Record Management in the Obstetric Environment
Abstract:
Promoting Perinatal Safety Using an Electronic Document Retrieval System for Prenatal Record Management in the Obstetric Environment
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Almryde, Karyn, MSN, RN
P.I. Institution Name:Sharp Mary Birch Hospital for Women
Title:Director of Obstetric and Surgical Services
[Research Paper or Poster Presentation] Documentation of the critical components of the patient's care is necessary for good patient outcomes. Absent or incomplete patient information impedes communication among providers and effects continuity of care adversely from the point of hospital admission. During patient handoffs, if vital patient information is not communicated from one health care provider to another, patient harm may result. While the inherent risk to patient safety associated with handoffs has been well documented in the literature. One aspect of patient handoff that has received less attention is the transfer of care from the outpatient to the inpatient setting. In the obstetric environment this care transition is especially important because an incomplete handoff due to the absence of a prenatal record can potentially lead to an adverse event that can affect two connected but separate patients. These potential risks supported the necessity to develop an electronic system for prenatal record management that could provide on demand access to patient information 24/7. A retrospective, multiple-time-series study before and after implementation of the electronic document retrieval system was the research methodology used for this project. Success of the project was based on the presence of a prenatal record in the electronic system at the time of admission to the hospital. Project development included focus group interviews with key stakeholders, gathering information regarding prenatal record process and flow both internally and externally and partnering with the information systems department to build an application to meet the specified needs. Prior to the implementation of the electronic system the percent of available prenatal records for the pilot- physician group was 84%. After implementation 100% of all faxed records were available upon patient admission. Implementation of the electronic document retrieval system has eliminated the problem of the lost prenatal record and improved patient handoff and communication among providers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromoting Perinatal Safety Using an Electronic Document Retrieval System for Prenatal Record Management in the Obstetric Environmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/152182-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promoting Perinatal Safety Using an Electronic Document Retrieval System for Prenatal Record Management in the Obstetric Environment</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Almryde, Karyn, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sharp Mary Birch Hospital for Women</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Obstetric and Surgical Services</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Karyn.Almryde@Sharp.com</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Documentation of the critical components of the patient's care is necessary for good patient outcomes. Absent or incomplete patient information impedes communication among providers and effects continuity of care adversely from the point of hospital admission. During patient handoffs, if vital patient information is not communicated from one health care provider to another, patient harm may result. While the inherent risk to patient safety associated with handoffs has been well documented in the literature. One aspect of patient handoff that has received less attention is the transfer of care from the outpatient to the inpatient setting. In the obstetric environment this care transition is especially important because an incomplete handoff due to the absence of a prenatal record can potentially lead to an adverse event that can affect two connected but separate patients. These potential risks supported the necessity to develop an electronic system for prenatal record management that could provide on demand access to patient information 24/7. A retrospective, multiple-time-series study before and after implementation of the electronic document retrieval system was the research methodology used for this project. Success of the project was based on the presence of a prenatal record in the electronic system at the time of admission to the hospital. Project development included focus group interviews with key stakeholders, gathering information regarding prenatal record process and flow both internally and externally and partnering with the information systems department to build an application to meet the specified needs. Prior to the implementation of the electronic system the percent of available prenatal records for the pilot- physician group was 84%. After implementation 100% of all faxed records were available upon patient admission. Implementation of the electronic document retrieval system has eliminated the problem of the lost prenatal record and improved patient handoff and communication among providers.</td></tr></table>en_GB
dc.date.available2011-10-26T11:26:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:26:53Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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