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. 1986 Oct;32:2115–2120.

The Role of Standardized Risk Assessment in the Provision of Prenatal Care

IJ Parboosingh
PMCID: PMC2328215  PMID: 21267311

Abstract

Errors in the provision of prenatal care are more likely to be the result of mental saturation than of inadequacies in the physician's fund of knowledge. To eliminate medical errors the physician should commit more time to the processing of clinical data. There are, however, limits to the physician's ability to handle large amounts of information in a busy clinic. This article outlines the benefits and limitations of risk scoring, and recommends the use of standardized risk assessment as a screening device to detect those pregnancies in need of further investigation or consultation with a specialist.

Keywords: risk score, prenatal care, regionalization

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ashbaugh D. G., McKean R. S. Continuing medical education. The philosphy and use of audit. JAMA. 1976 Sep 27;236(13):1485–1488. doi: 10.1001/jama.236.13.1485. [DOI] [PubMed] [Google Scholar]
  2. Chng P. K., Hall M. H., MacGillivray I. An audit of antenatal care: the value of the first antenatal visit. Br Med J. 1980 Nov 1;281(6249):1184–1186. doi: 10.1136/bmj.281.6249.1184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Coopland A. T., Peddle L. J., Baskett T. F., Rollwagen R., Simpson A., Parker E. A simplified antepartum high-risk pregnancy scoring form: statistical analysis of 5459 cases. Can Med Assoc J. 1977 May 7;116(9):999–1001. [PMC free article] [PubMed] [Google Scholar]
  4. Hobel C. J., Hyvarinen M. A., Okada D. M., Oh W. Prenatal and intrapartum high-risk screening. I. Prediction of the high-rish neonate. Am J Obstet Gynecol. 1973 Sep 1;117(1):1–9. doi: 10.1016/0002-9378(73)90720-5. [DOI] [PubMed] [Google Scholar]
  5. Lilford R. J., Chard T. Microcomputers in antenatal care: a feasibility study on the booking interview. Br Med J (Clin Res Ed) 1981 Aug 22;283(6290):533–536. doi: 10.1136/bmj.283.6290.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Lilford R. J., Chard T. Problems and pitfalls of risk assessment in antenatal care. Br J Obstet Gynaecol. 1983 Jun;90(6):507–510. doi: 10.1111/j.1471-0528.1983.tb08956.x. [DOI] [PubMed] [Google Scholar]
  7. McDonald C. J. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976 Dec 9;295(24):1351–1355. doi: 10.1056/NEJM197612092952405. [DOI] [PubMed] [Google Scholar]
  8. Morrison I., Olsen J. Perinatal mortality and antepartum risk scoring. Obstet Gynecol. 1979 Mar;53(3):362–366. [PubMed] [Google Scholar]
  9. Nesbitt R. E., Jr, Aubry R. H. High-risk obstetrics. II. Value of semiobjective grading system in identifying the vulnerable group. Am J Obstet Gynecol. 1969 Apr 1;103(7):972–985. doi: 10.1016/s0002-9378(16)34448-9. [DOI] [PubMed] [Google Scholar]
  10. Pineault R. The effect of medical training factors on physician utilization behavior. Med Care. 1977 Jan;15(1):51–67. doi: 10.1097/00005650-197701000-00004. [DOI] [PubMed] [Google Scholar]
  11. Sibley J. C., Spitzer W. O., Rudnick K. V., Bell J. D., Bethune R. D., Sackett D. L., Wright K. Quality-of-care appraisal in primary care: a quantitative method. Ann Intern Med. 1975 Jul;83(1):46–52. doi: 10.7326/0003-4819-83-1-46. [DOI] [PubMed] [Google Scholar]

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