Academic Journal
Documentation of instrumental vaginal deliveries ; The benefits of a pro forma
| العنوان: | Documentation of instrumental vaginal deliveries ; The benefits of a pro forma |
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| المؤلفون: | Shamsa, Aiat, Jang, Agnes JY, McGee, Therese M |
| المصدر: | Health Information Management Journal ; volume 45, issue 3, page 116-120 ; ISSN 1833-3583 1833-3575 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2016 |
| الوصف: | Background: Instrumental vaginal deliveries (IVDs) account for approximately 11% of births in Australia. Complications resulting from IVD can occasionally be the subject of litigation. The Royal College of Obstetricians and Gynaecologists suggests a standardised pro forma in their guidelines as an aid to accurate and complete IVD documentation. Many units, including ours, use less structured reporting, which is probably also less adequate. Aim: To assess whether the introduction of a dedicated IVD form improves the quality of IVD documentation. Method: Analysis of the quality of IVD documentation before and after the implementation of a new dedicated IVD form. A survey to evaluate clinicians’ opinion on the new standardised form. Results: Significant improvement was found in documentation of key information including the documentation of caput ( p < 0.05), type of instrument, number of ventouse cup detachments, moulding of specific sutures, abdominal palpation (number of fifths of foetal head palpable), liquor colour and total time of instrument application ( p < 0.001). A majority of clinicians believed the form to be beneficial in terms of completeness and that it reduced the amount of time required for documentation. Conclusions: IVD documentation is enhanced by the use of a dedicated form. Clinical judgement may also be enhanced by the discipline involved in the formal assessment required by the form. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/1833358316647547 |
| الاتاحة: | http://dx.doi.org/10.1177/1833358316647547 http://journals.sagepub.com/doi/pdf/10.1177/1833358316647547 http://journals.sagepub.com/doi/full-xml/10.1177/1833358316647547 |
| Rights: | http://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.ADFE4C5E |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/1833358316647547 |
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