Computerized "real-time" bedside medication documentation and preventable error : a study of documentation behavior changes

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Title Computerized "real-time" bedside medication documentation and preventable error : a study of documentation behavior changes
Publication Type thesis
School or College School of Medicine
Department Biomedical Informatics
Author Nelson, Nancy Campbell
Date 2006-05
Description An inferential study comparing maternal and newborn morbidity and mortality between two groups of low risk pregnancies was conducted. Group I was comprised of 100 home births managed by certified nurse-midwives with a non-interventionist philosophy of obstetrical practice. Group II was comprised of 100 hospital deliveries managed by obstetricians with an interventionist philosophy of obstetrical practice. Data collection was by retrospective chart review. There was no significant difference between labor and delivery complications in the two groups. Analysis of fetal/neonatal complications showed more recorded intrapartum fetal distress, newborn jaundice requiring treatment with bililights, forceps related bruising, and cephalhematomas in the hospital delivery group. Analysis of maternal postpartum complications showed more recorded uterine atony requiring treatment with oxytocics, in addition to those given immediately after delivery of the placenta, in the hospital delivery group. It can not always be determined whether the differences are a result of intervention and non-intervention in a normal labor, or differences in charting and follow-up of patients. There were no maternal or newborn deaths in this study. Ultimately, both groups had a safe, healthy outcome. This study did not support the philosophy that additional medical and obstetrical procedures rendered in the hospital deliveries results in improved outcome for a low risk pregnancy. Offering options to these women as to type and amount of intervention would seemingly not increase maternal and newborn mortality or morbidity.
Type Text
Publisher University of Utah
Subject Latter-Day Saints Hospital (Salt Lake City, Utah); Drugs - Administration - Data processing; Medication errors - Prevention; HELP (Information retrieval system)
Subject MESH Pharmaceutical Preparations; Medication Errors; Medication Systems, Hospital
Dissertation Institution University of Utah
Dissertation Name MS
Language eng
Relation is Version of Digital reproduction of "Computerized real-time bedside medication documentation and preventable error: a study of documentation behavior changes Spencer S. Eccles Health Sciences Library.
Rights Management © Nancy Campbell Nelson.
Format application/pdf
Format Medium application/pdf
Format Extent 824,767 bytes
Identifier undthes,3943
Source Original University of Utah Spencer S. Eccles Health Sciences Library (no longer available)
Master File Extent 824,844 bytes
ARK ark:/87278/s6ww7kjd
Setname ir_etd
ID 191490
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ww7kjd
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