The Impact Of Clinical Decision Support On Obstetrical Outcomes

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Impact of Clinical Decision Support on Obstetrical Outcomes Oregon Health and Science University BMI 510 Fall 2014 Impact of Clinical Decision Support on Obstetrical Outcomes Introduction It has been nearly fifteen years since the Institute of Medicine (IOM) published To Err is Human: Building a Safer Health System (Kohn, Corrigan, & Donaldson, 2000). This brought to the forefront the issue of safety in medicine along with a proposed agenda to decrease preventable complications. Interestingly, it was a shift in focus from individuals to processes in the effort to decrease error and improve outcomes. In spite of the proposed solutions, many of which clearly demonstrate benefit, healthcare in the United States is far from the IOM proposed 50% reduction in medical errors in five years. In 2013, John T. James of Patient Safe America reported that “…the true number of premature deaths associated with preventable harm to patients was estimated at more than 400,000 per year. Serious harm seems to be 10- to 20-fold more common than lethal harm.” (James, 2013) The Need for Decision Support in Obstetrics Why is this information relevant to decision support in obstetrical care? It points to the need for improved safety and high reliability care. The CDC recently reported on maternal mortality in the United States. Not only has there been no improvement in the past 25 years, there has actually been an increase from 9.1 deaths per 100,000 livebirths for the period of

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