Document Detail


Audit of a fetal central monitoring station in a clinical setting.
MedLine Citation:
PMID:  21504336     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective. To conduct an audit of the Omniview-SisPorto® central monitoring station (CMS) and determine the effect of the measures undertaken to correct identified problems. Methods. All cardiotocograms (CTGs) recorded in randomly selected days of 2006 and 2009, both in the outpatient clinic and labor ward, were reviewed to assess the following parameters: tracing identification, duration, signal quality, signal loss, acquisition method, and time elapsed between tracing-end and birth. A random sample of cases was compared with original paper recordings and 25% of CTGs were re-retrieved for comparison with first retrieval. Results. Antepartum tracings were identified in 92% of cases. Mean signal quality rose from 96.4% in 2006 to 97.1% in 2009 (p = 0.009). Mean signal loss fell from 7.4% to 5.8% (p = 0.012). Intrapartum CTGs were identified in 44% of cases in 2006 and in 69% in 2009 (p < 0.001). Mean interval between tracing-end and birth decreased from 12.0 to 8.4 min (p < 0.001). Coincidence of variables in tracings retrieved twice increased between 2006 and 2009. All retrieved tracings matched the original paper recordings. Several technical problems identified in 2006 were not found in 2009. Conclusions. The Omniview-SisPorto® system showed reliable recording, storage, and retrieval of CTGs. Auditing of fetal CMSs allows improvement of their performance and use.
Authors:
Célia Amorim-Costa; Diogo Ayres-De-Campos; Paulo Sousa; João Bernardes
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-19
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, S. João Hospital, Faculty of Medicine - University of Porto, Portugal.
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