Regional Register of Cesarean Sections “С-Registеr”
Summary
The role of information technology in obstetrics
• Continuous monitoring of all caesarean section operations both in the context of medical organizations and the entire region.
• “Digitization” of all medical documentation on operative delivery from preoperative epicrisis to risk assessment of VTEC after cesarean section
• Automation of Robson classification
Keywords: Information technology, health care, obstetrics, Robson classification, medical decision support systems, analytics of the activities of medical organizations, caesarean sections, risk assessment of VTEC, electronic protocol of operations
Abstract:
Information technology in obstetrics
• Continuous monitoring of all cesarean section operations in the context of medical organizations and the entire region.
• Digitization of all medical documentation on operative delivery from preoperative epicrisis to risk assessment of VTEO after cesarean section
• Automation of the classification of Robson
Information technology, healthcare, obstetrics, classification of MS Robson, medical decision support systems, analytics of medical organizations, cesarean sections, risk assessment of VTE, electronic protocol of operations.
Caesarean section is one of the most common surgical procedures in the world, and its frequency continues to increase, especially in high- and middle-income countries. While caesarean sections can save lives, they are often performed without a medical indication, putting women and their children at risk of developing health problems in the short or long term. A caesarean section may be necessary when a vaginal delivery can be dangerous for the mother or baby. At the same time, a caesarean section can lead to serious complications, disability or death, especially in the absence of the ability to safely perform surgery or treat possible complications.
In order to improve the quality of medical care for pregnant women and improve systems to support medical decision-making in operational obstetrics, automate the analytics of the activities of obstetric care institutions, including Robson’s classification, it was decided to develop and introduce the regional register of cesarean sections “KesRegister” in the Sverdlovsk region as a structural -functional module of the automated information system “Regional Obstetric Monitoring” (hereinafter - AIST “RAM”).
The register automatically “collects” information on all operations of cesarean section and manipulations performed intraoperatively, in digital form in the entire region.
Thanks to the work in the AIST “RAM” region, it was possible to collect information on cases of delivery by caesarean section from electronic medical records for the period preceding the introduction of the register, and thus got the opportunity for automated analytics and implementation of SPPVR in terms of operational obstetrics.
A multifunctional filter has been created for the selection of certain cases online, taking into account the level of MR, the volume of blood loss, the timing of delivery and intraoperative manipulations.
The classification of Robson’s caesarean section operations is now generated automatically, thereby minimizing the influence of the human factor and the possibility of distorting real results.
The classification of caesarean section operations is recommended for use by WHO and the Letter of the Ministry of Health of the Russian Federation dated February 19, 2019 No. 15-4/I/2-1286. This report can be obtained for any period for any medical organization or region as a whole. The report can be obtained both in tabular and graphical form.
On the basis of KesRegistr, a system of mobile notifications was created and configured for online quality control of medical care and quick adoption of organizational and administrative decisions.
The leaders of the MO can receive the following information within the framework of their MO on the phone online:
• About all caesarean section operations taking into account the volume of blood loss, intraoperative manipulations and the condition of the newborn;
• Healthcare providers can receive the following information by phone online:
• About all operations of caesarean section in the 1st level MO
• About all pathological blood loss during cesarean section
For More Open Access
Journals in Iris Publishers Please Click on: https://irispublishers.com/
For More Information: https://irispublishers.com/wjgwh/fulltext/regional-register-of-cesarean-sections-c-regist%D0%B5r.ID.000591.php
No comments:
Post a Comment