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High-tech Deliveries

Can a Computer Program Increase Delivery Room Safety?

By Teri Brown

Pages:  1  2  3  4  

Based on the specific clinical situation and the hospital's best practices, the system reacts in real time and generates prompts, alerts, reminders and suggestions that assist the staff to provide the best expected care and, most important, to avoid errors as they occur

"E&C Medical Intelligence invested more than 400 clinician years of obstetrical experience into the development of IPROB to create a highly accurate knowledgebase of more than 6,500 best practice guidelines and rules in obstetrics," Dr. Ephrat says. "This, with an advanced expert systems technology we developed, enables the system to assist the staff, in real time, in providing the best patient care and avoiding mistakes."

According to Dr. Ephrat, doctors and nurses recognize the need for a system that ensures patient safety, significantly streamlines the workflow and, at the same time, reduces human error. Those using IPROB have found the system to be valuable in ensuring that staff members react appropriately and immediately so there are no inaccuracies. To date, IPROB has been used in more than 160,000 births in more than 30 hospitals throughout the country

"The system is able to recognize the documentation and decision making needs of the staff, specific to the patient's clinical condition," Dr. Ephrat says. "This allows it to generate for the staff the relevant entry items in real time, making it easier to use relative to other systems that stay indifferent to the clinical situation and therefore cannot interact with the staff."

How Does It Work?
According to Dr. Ephrat, IPROB monitors all maternal and baby parameters through the entire delivery process to ensure a safe birth. In addition to monitoring blood pressure, fetal heart rate and the mother's heart rate, IPROB takes into consideration all the relevant clinical conditions of the mother and baby, including treatment modalities and diagnoses.

"For example, if Pitocin is administered to stimulate and enhance labor, IPROB would monitor the labor pattern and progression, as well as the baby's well-being, and alert the doctors and nurses if Pitocin levels become too high and contractions become too frequent," Dr. Ephrat says. "The IPROB system would react before the baby became distressed, which could potentially cause harmful effects on the baby and its mother."


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