Perinatal Data Collection: Current Practice in the Australian Nursing and Midwifery Healthcare Context

Craswell, Alison; Moxham, Lorna; Broadbent, Marc

doi:10.1177/183335831304200102

Cited by 8 publications

(5 citation statements)

References 37 publications

(48 reference statements)

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“…Hospitals can promote this process by arranging education for midwives, possibly in conjunction with the VPDC liaison midwife, to address factors known to impact on midwives’ practice in completing the perinatal information required. Earlier research has identified the need to ensure midwives know the correct data definitions in use to minimise confusion (Craswell et al, 2013b; Robertson, 1995) and our own findings support this.…”

Section: Discussionsupporting

confidence: 61%

“…Midwives' level of computer literacy and the user-friendliness of IT systems may have impacts. For example, some targeted education may be required for midwives in the use of the scroll bar to visualise the dropdown options within subcategories for data entry, a topic that has, as yet, been little explored (Craswell et al, 2013a(Craswell et al, , 2013b. Midwives have also expressed concern about the potential for inaccuracy when entering information from medical records into databases, particularly when very busy (Craswell et al, 2013a).…”

Section: Problems With Datamentioning

confidence: 99%

See 1 more Smart Citation

Data accuracy in the Victorian Perinatal Data Collection: Results of a validation study of 2011 data

Flood

McDonald

Pollock

et al. 2017

HIM J

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Section: Discussionsupporting

confidence: 61%

Section: Problems With Datamentioning

confidence: 99%

Data accuracy in the Victorian Perinatal Data Collection: Results of a validation study of 2011 data

Flood

McDonald

Pollock

et al. 2017

HIM J

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“…Globally, there is a current trend of moving from a PHR to EHR, which is surprising without any real evaluation or awareness of how well the data are captured or shared between health care providers using either of these records. While other papers have been identified reporting on data completeness in the maternity setting, these focus on hospital perinatal datasets or charts, rather than with a PHR [ 50 , 51 ]. Three papers were also found that reported on completeness of data in records in other health settings [ 52 - 54 ].…”

Section: Discussionmentioning

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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“…Furthermore, our participants emphasised that electronic direct transfer of data from medical records to the MHCR would substantially reduce their workload. An Australian study shows that e-health platforms result in improvement to error rates and completion levels [ 7 ]. It is plausible that a similar improvement would be seen in the MHCR if implementing electronic direct transfer of data.…”

Section: Discussionmentioning

confidence: 99%

User perspectives on the Swedish Maternal Health Care Register

Petersson

Persson

Lindkvist

et al. 2014

BMC Health Serv Res

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BackgroundEstablished in 1999, the Swedish Maternal Health Care Register (MHCR) collects data on pregnancy, birth, and the postpartum period for most pregnant women in Sweden. Antenatal care (ANC) midwives manually enter data into the Web-application that is designed for MHCR. The aim of this study was to investigate midwives’ experiences, opinions and use of the MHCR.MethodA national, cross-sectional, questionnaire survey, addressing all Swedish midwives working in ANC, was conducted January to March 2012. The questionnaire included demographic data, preformed statements with six response options ranging from zero to five (0 = totally disagree and 5 = totally agree), and opportunities to add information or further clarification in the form of free text comments. Parametric and non-parametric methods and logistic regression analyses were applied, and content analysis was used for free text comments.ResultsThe estimated response rate was 53.1%. Most participants were positive towards the Web-application and the included variables in the MHCR. Midwives exclusively engaged in patient-related work tasks perceived the register as burdensome (70.3%) and 44.2% questioned the benefit of the register. The corresponding figures for midwives also engaged in administrative supervision were 37.8% and 18.5%, respectively. Direct electronic transfer of data from the medical records to the MHCR was emphasised as significant future improvement. In addition, the midwives suggested that new variables of interest should be included in the MHCR – e.g., infertility, outcomes of previous pregnancy and birth, and complications of the index pregnancy.ConclusionsIn general, the MHCR was valued positively, although perceived as burdensome. Direct electronic transfer of data from the medical records to the MHCR is a prioritized issue to facilitate the working situation for midwives. Finally, the data suggest that the MHCR is an underused source for operational planning and quality assessment in local ANC centres.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-014-0613-2) contains supplementary material, which is available to authorized users.

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Perinatal Data Collection: Current Practice in the Australian Nursing and Midwifery Healthcare Context

Cited by 8 publications

References 37 publications

Data accuracy in the Victorian Perinatal Data Collection: Results of a validation study of 2011 data

Data accuracy in the Victorian Perinatal Data Collection: Results of a validation study of 2011 data

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

User perspectives on the Swedish Maternal Health Care Register

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