Increasing Timely and Available Prenatal Studies by Electronic Health Records

Metz, John P.; Son, Sarah; Winter, Robin O; Chae, Sung Won

doi:10.3122/jabfm.2011.04.100296

Cited by 10 publications

(10 citation statements)

References 10 publications

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“…In an urban residents’ clinic, adopting an EMR was associated with an improved rate at which prenatal tests were ordered on time, present on the chart, and recorded on a prenatal flow sheet. (27) EMR adoption may improve documentation without adversely affecting workflow. (28, 29) Even within an existing EMR, improved electronic supports may increase measures of quality care.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Gestational Weight Gain Counseling and Tracking

Oken

Switkowski

Price

et al. 2012

Matern Child Health J

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Objectives Excessive gestational weight gain (GWG) predicts adverse pregnancy outcomes and later obesity risk for both mother and child. Women who receive GWG advice from their obstetric clinicians are more likely to gain the recommended amount, but many clinicians do not counsel their patients on GWG, pointing to the need for new strategies. Electronic medical records (EMRs) are a useful tool for tracking weight and supporting guideline-concordant care, but their use for care related to GWG has not been evaluated. Methods We performed in-depth interviews with 16 obstetric clinicians from a multi-site group practice in Massachusetts that uses an EMR. We recorded, transcribed, coded, and analyzed the interviews using immersion-crystallization. Results Many respondents believed that GWG had “a lot” of influence on pregnancy and child health outcomes but that their patients did not consider it important. Most indicated that excessive GWG was a big or moderate problem in their practice, and that inadequate GWG was rarely a problem. All used an EMR feature that calculates total GWG at each visit. Many were enthusiastic about additional EMR-based supports, such as a reference for recommended GWG for each patient based on pre-pregnancy body mass index, a “growth chart” to plot actual and recommended GWG, and an alert to identify out-of-range gains, features which many felt would remind them to counsel patients about excessive weight gain. Conclusion Additional decision support tools within EMRs would be well received by many clinicians and may help improve the frequency and accuracy of GWG tracking and counseling.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Gestational Weight Gain Counseling and Tracking

Oken

Switkowski

Price

et al. 2012

Matern Child Health J

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show abstract

“…[6][7][8] Because obstetric care can span a variety of outpatient and inpatient settings, communication between different medical providers is of prime importance. 2,8 To translate these trends into discernible clinical outcomes, this study investigates the outcomes of improved transmission of prenatal test results, specifically maternal hepatitis B and human immunodeficiency virus (HIV) serology, between the outpatient and inpatient obstetric setting after implementation of an electronic prenatal record system. [4][5][6][7][8] Two previous studies have demonstrated increased availability and communication of prenatal records in the obstetric setting after implementation of an electronic medical record.…”

Section: Level Of Evidence: IIImentioning

confidence: 99%

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

Pham-Thomas

Pereira

Powell

et al. 2014

Obstetrics &Amp; Gynecology

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“…Fortunately, the unprecedented spread of mobile technology has made it possible to develop mHealth platforms that can be used to provide similar services to hard-to-reach communities in resource-limited settings [23,27]. This has led to improved quality of care and decreased rate of unnecessary testing, and has allowed for early institution of evidence-based interventions that improve birth outcome [28-31]. …”

Section: Introductionmentioning

confidence: 99%

An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol

Ezeanolue¹,

Gbadamosi²,

Olawepo³

et al. 2017

JMIR Res Protoc

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BackgroundThe unprecedented coverage of mobile technology across the globe has led to an increase in the use of mobile health apps and related strategies to make health information available at the point of care. These strategies have the potential to improve birth outcomes, but are limited by the availability of Internet services, especially in resource-limited settings such as Nigeria.ObjectiveOur primary objective is to determine the feasibility of developing an integrated mobile health platform that is able to collect data from community-based programs, embed collected data into a smart card, and read the smart card using a mobile phone-based app without the need for Internet access. Our secondary objectives are to determine (1) the acceptability of the smart card among pregnant women and (2) the usability of the smart card by pregnant women and health facilities in rural Nigeria.MethodsWe will leverage existing technology to develop a platform that integrates a database, smart card technology, and a mobile phone-based app to read the smart cards. We will recruit 300 pregnant women with one of the three conditions—HIV, hepatitis B virus infection, and sickle cell trait or disease—and four health facilities in their community. We will use Glasgow’s Reach, Effectiveness, Adoption, Implementation, and Maintenance framework as a guide to assess the implementation, acceptability, and usability of the mHealth platform.ResultsWe have recruited four health facilities and 300 pregnant women with at least one of the eligible conditions. Over the course of 3 months, we will complete the development of the mobile health platform and each participant will be offered a smart card; staff in each health facility will receive training on the use of the mobile health platform.ConclusionsFindings from this study could offer a new approach to making health data from pregnant women available at the point of delivery without the need for an Internet connection. This would allow clinicians to implement evidence-based interventions in real time to improve health outcomes.Trial RegistrationClinicalTrials.gov NCT03027258; https://clinicaltrials.gov/ct2/show/NCT03027258 (Archived by WebCite at http://www.webcitation.org/6owR2D0kE)

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Increasing Timely and Available Prenatal Studies by Electronic Health Records

Cited by 10 publications

References 10 publications

A Qualitative Study of Gestational Weight Gain Counseling and Tracking

A Qualitative Study of Gestational Weight Gain Counseling and Tracking

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

An mHealth Framework to Improve Birth Outcomes in Benue State, Nigeria: A Study Protocol

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