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ISSN: 2637-4722

Progressing Aspects in Pediatrics and Neonatology

Review Article(ISSN: 2637-4724)

A Clinical Decision Support System for Maternity Risk Assessment Developed for NHS Scotland

Volume 1 - Issue 5

Yaëlle Chaudy1*, Thomas M Connolly1 and Brian Magowan2

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    • 1School of Computing, University of the West of Scotland, UK
    • 2Consultant Obstetrician, NHS Borders, UK

    *Corresponding author: Yaëlle Chaudy, School of Computing, University of the West of Scotland, UK

Received: October 22, 2018;   Published: October 26, 2018

DOI: 10.32474/PAPN.2018.01.000124

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Abstract

Clinical Decision Support (CDS) is a growing field and the technology is increasingly used by both clinicians and patients. In maternity care, numerous guidelines exist on risk assessment and proposed care plans during pregnancy and labour. However, as new evidence arise, these guidelines are subject to change. It is time consuming for clinicians to

a. Compile all this information and

b. Keep it up to date.

This paper presents our approach to overcoming these two issues: the SAFER (Safe Assessment Form to Evaluate Risk) maternity system. This CDS system contains rules extracted from current guidelines on maternity care and generates care plans at various stages of gestation based on patient data. The system includes a mobile application and a web interface. The mobile application can be used to visualise care plans and edit patient data. The web interface includes an authoring tool allowing clinicians to edit the logic used to generate the care plans, thus keeping the rules up to date. The tool has been developed for and is currently used by NHS Scotland.

Keywords: Clinical Decision Support Systems; Pregnancy; Maternity; Risk Assessment, Authoring Tool

Abbrevations: CDS: Clinical Decision Support; CDSS: Clinical Decision Support System; SAFER: Safe Assessment Form to Evaluate Risk; NICE: National Institute for Health and Care Excellence; SIGN: Scottish Intercollegiate Guidelines Network

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