Missing prenatal records at a birth center: a communication problem quantified
- PMID: 16779097
- PMCID: PMC1560536
Missing prenatal records at a birth center: a communication problem quantified
Abstract
Objectives: To quantify the extent of missing prenatal records at the time of patient presentation to a birth center, to document the age of the information in those records, and to discover how quickly missing records were retrieved.
Method: A survey form was completed over a three-month period for each patient presenting for care.
Results: Prenatal records were unavailable 37% of the time at initial presentation. Records were never obtained for 20% of patients. The median age of the prenatal record was 30 days for those records that were immediately available, and the median age was 5 days for those records that were retrieved later. It took a median of 1.4 hours to retrieve a missing re-cord.
Conclusion: Prenatal records are frequently missing at the point-of-care, and even when records are avail-able or retrieved, the information contained within them is likely to be outdated. Further research is needed to quantify both the clinical and economic impact of this problem.
References
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- Guidelines for perinatal care. 5th ed. American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. 2002. p. 129.
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- Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293:565–571. - PubMed
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- Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Munson ML. Births: Final data for 2002. National vital statistics reports;52(10). Hyattsville, Maryland: National Center for Health Statistics. 2003. - PubMed
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- eNATAL(SM). eNATAL, LLC, Shawnee, Kansas.
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