A Clinical Decision Support System for Maternity Risk Assessment Developed for NHS Scotland
Journal Title: Progressing Aspects in Pediatrics and Neonatology - Year 2018, Vol 1, Issue 5
Abstract
Clinical Decision Support (CDS) is a growing field and the technology is increasingly used by both clinicians and patients. In maternity care, numerous guidelines exist on risk assessment and proposed care plans during pregnancy and labour. However, as new evidence arise, these guidelines are subject to change. It is time consuming for clinicians to a. Compile all this information and b. Keep it up to date. This paper presents our approach to overcoming these two issues: the SAFER (Safe Assessment Form to Evaluate Risk) maternity system. This CDS system contains rules extracted from current guidelines on maternity care and generates care plans at various stages of gestation based on patient data. The system includes a mobile application and a web interface. The mobile application can be used to visualise care plans and edit patient data. The web interface includes an authoring tool allowing clinicians to edit the logic used to generate the care plans, thus keeping the rules up to date. The tool has been developed for and is currently used by NHS Scotland.Early identification and management of the risks associated with pregnancy is essential to providing appropriate treatment to pregnant women [1]. In Scotland there are six areas that have been targeted for improved maternal care: post-partum haemorrhage, stillbirth, sepsis, venous thromboembolism, smoking cessation and appropriate induction of labour. Effective identification of maternal risk and its subsequent management is guided by nationally recognised evidence and best practice (e.g. National Institute for Health and Care Excellence NICE, Scottish Intercollegiate Guidelines Network SIGN). However, with so much evidence and practice guidelines available, health care staff can be overwhelmed by bureaucracy and can miss key clinical factors. Risk assessment is frequently carried out in an ad hoc manner and is not always undertaken.
Authors and Affiliations
Yaëlle Chaudy, Thomas M Connolly, Brian Magowan
Keywords
Related Articles
- EP ID EP580538
- DOI 10.32474/PAPN.2018.01.000124
- Views 76
- Downloads 0
Meconium Ileus (MI), Presentation of Cystic Fibrosis needs more Research?
Gastrointestinal (GI) tract gets affected earlier in the development stage of cystic fibrosis due to CFTR mutations [1]. CFTR gene is present all over the intestinal epithelial cells [2]. It controls secretion of chlorid...
Autoimmune Encephalitis in Children: A Short Review
Autoimmune encephalitis (AE) comprises an expanding group of clinical syndromes that can occur at all ages, but preferentially affect younger adults and children. These disorders associate with antibodies against neurona...
Pediatric Appendicitis
Appendicitis is the most common surgical diagnosis for children who present with abdominal pain to the emergency department. However, there are nonspecific examination findings and variable historical features during its...
Greig Syndrome: A Rare Disease - Case Report
Grieg cephalopolysyndactyly syndrome (GCPS) is a rare congenital genetic disorder present at birth, characterized through physical abnormalities, primarily affecting the development of the limbs, head, and face (craniofa...
“Use Judiciously, or I Will Be Useless” A Clinical Audit on Use of Antibiotics Within First 72 hrs of Life in Symptomatic Term Babies With no Maternal Risk for Infection
Over use of antibiotics lead to resistance and unwanted sideeffects in newborns. Since 1992, professional societies or public health agencies have issued several generations of recommendations for prevention or managemen...