Data re-entry overload: time for a paradigm shift in maternity IT?

Fawdry, Rupert; Bewley, Susan; Cumming, Grant; Perry, Helga

doi:10.1258/jrsm.2011.110153

Cited by 12 publications

(13 citation statements)

References 31 publications

(25 reference statements)

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“…In the field of clinical research, incomplete and biased reporting has resulted in patients suffering and dying unnecessarily. 1 Reliance on an incomplete evidence base for decision-making can lead to imprecise or incorrect conclusions about an intervention's effects. Biased reporting of clinical research can result in overestimates of beneficial effects 2 and suppression of harmful effects of treatments.…”

Section: Why Is Incomplete Reporting Of Research a Problem?mentioning

confidence: 99%

Recognizing, investigating and dealing with incomplete and biased reporting of clinical research: from Francis Bacon to the WHO

Dickersin

Chalmers²

2011

J R Soc Med

103

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Why is incomplete reporting of research a problem?'Reporting bias' occurs when the nature and direction of the results of research influences their dissemination. Research results that are not statistically significant ('negative') tend to be underreported, 9 while results that are regarded as exciting or statistically significant ('positive') tend to be over-reported. 10 -12 The nature and direction of research results can influence whether or not research is reported at all, 9,13 and if so, in which forms. 14 They can also influence the speed at which results are reported, 15 -17 the language in which they are published, 18,19 and the likelihood that the research will be cited. 20 -25 Failure to publish research findings is pervasive. 26,27 Studies demonstrating failure to publish have included research conducted in many countries, including Australia, France, Germany, Spain, Switzerland, the United Kingdom and the United States. For example, an analysis of follow-up studies based on 29,729 reports of research made available only in abstract form found that fewer than half of the studies went on to full publication, and that positive results were positively associated with full publication, regardless of whether 'positive' results had been defined as any 'statistically significant' result or as 'a result favoring the experimental treatment'. 14

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Section: Why Is Incomplete Reporting Of Research a Problem?mentioning

confidence: 99%

Recognizing, investigating and dealing with incomplete and biased reporting of clinical research: from Francis Bacon to the WHO

Dickersin

Chalmers²

2011

J R Soc Med

103

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“…Prompt examination for genital tract trauma and expedient suturing must be ensured. Although current practice requires duplication of data entry, 82 health professionals should ensure accurate and complete transcription from paper to electronic records.…”

Section: Resultsmentioning

confidence: 99%

Reporting errors, incidence and risk factors for postpartum haemorrhage and progression to severe PPH: a prospective observational study

Briley

Seed

Tydeman

et al. 2014

BJOG

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ObjectiveTo quantify reporting errors, measure incidence of postpartum haemorrhage (PPH) and define risk factors for PPH (≥500 ml) and progression to severe PPH (≥1500 ml).DesignProspective observational study.SettingTwo UK maternity services.PopulationWomen giving birth between 1 August 2008 and 31 July 2009 (n = 10 213).MethodsWeighted sampling with sequential adjustment by multivariate analysis.Main outcome measuresIncidence and risk factors for PPH and progression to severe PPH.ResultsErrors in transcribing blood volume were frequent (14%) with evidence of threshold preference and avoidance. The incidences of PPH ≥500, ≥1500 and ≥2500 ml were 33.7% (95% CI 31.2–36.2), 3.9% (95% CI 3.3–4.6) and 0.8% (95% CI 0.6–1.0). New independent risk factors predicting PPH ≥ 500 ml included Black African ethnicity (adjusted odds ratio [aOR] 1.77, 95% CI 1.31–2.39) and assisted conception (aOR 2.93, 95% CI 1.30–6.59). Modelling demonstrated how prepregnancy- and pregnancy-acquired factors may be mediated through intrapartum events, including caesarean section, elective (aOR 24.4, 95% CI 5.53–108.00) or emergency (aOR 40.5, 95% CI 16.30–101.00), and retained placenta (aOR 21.3, 95% CI 8.31–54.7). New risk factors were identified for progression to severe PPH, including index of multiple deprivation (education, skills and training) (aOR 1.75, 95% CI 1.11–2.74), multiparity without caesarean section (aOR 1.65, 95% CI 1.20–2.28) and administration of steroids for fetal reasons (aOR 2.00, 95% CI 1.24–3.22).ConclusionsSequential, interacting, traditional and new risk factors explain the highest rates of PPH and severe PPH reported to date.

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“…Five papers elucidated both positive and negative perceptions of using the EHR [ 29 , 34 , 36 , 37 , 48 ]. The positive perceptions reported were varied and included a general acceptance of: increased reliability, faster transmission of information, reduced medical errors, access anywhere, less duplication, less use of paper and improved legibility [ 29 , 30 , 34 , 36 , 37 , 48 ]. However, there were suggestions of problems with standardisation and non-necessity of using an EHR [ 10 , 29 , 33 , 34 , 36 , 37 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: a systematic literature review

Hawley

Janamian

Jackson

et al. 2014

BMC Pregnancy Childbirth

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BackgroundThe paper hand-held record (PHR) has been widely used as a tool to facilitate communication between health care providers and a pregnant woman. Since its inception in the 1950s, it has been described as a successful initiative, evolving to meet the needs of communities and their providers. Increasingly, the electronic health record (EHR) has dominated the healthcare arena and the maternity general practice shared-care arrangement seems to have adopted this initiative. A systematic review was conducted to determine perspectives of the PHR and the EHR with regards to data completeness; experiences of users and integration of care between women and health care providers.MethodA literature search was conducted that included papers from 1985 to 2012. Studies were chosen if they fulfilled the inclusion criteria, reporting on: data completeness; experiences of users and integration of care between women and health care providers. Papers were extracted by one reviewer in consultation with two reviewers with expertise in maternity e-health and independently assessed for quality.ResultsA total of 43 papers were identified for the review, from an initial 6,816 potentially relevant publications. No papers were found that reported on data completeness in a maternity PHR or a maternity EHR, in a shared-care setting. Women described the PHR as important to their antenatal care and had a generally positive perception of using an EHR. Hospital clinicians reported generally positive experiences using a PHR, while both positive and negative impressions were found using an EHR. The few papers describing the use of the PHR and EHR by community clinicians were also divergent and inconclusive with regards to their experiences. In a general practice shared-care model, the PHR is a valuable tool for integration between the woman and the health care provider. While the EHR is an ideal initiative in the maternity setting, facilitating referrals and communication, there are issues of fragmentation and continued paper use.ConclusionsThere was a surprising gap in knowledge surrounding data completeness on maternity PHRs or EHRs. There is also a paucity of available impressions from community clinicians using both forms of the records.

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Data re-entry overload: time for a paradigm shift in maternity IT?

Cited by 12 publications

References 31 publications

Recognizing, investigating and dealing with incomplete and biased reporting of clinical research: from Francis Bacon to the WHO

Recognizing, investigating and dealing with incomplete and biased reporting of clinical research: from Francis Bacon to the WHO

Reporting errors, incidence and risk factors for postpartum haemorrhage and progression to severe PPH: a prospective observational study

In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: a systematic literature review

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