Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review
Objectives Suboptimal intrapartum electronic fetal heart rate monitoring using cardiotocography has remained a persistent problem (EFM-CTG). We aimed to identify the range of influences on the safety of using EFM-CTG in practice.Design Scoping review to identify influences related to the practice of...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e085827.full |
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| author | Cathy Winter Mary Dixon-Woods Isla Kuhn Guillaume Lamé Elisa Liberati Jenni Burt Sarah Kelly Alice Egerton Tim J Draycott Harry Kyriacou Kathryn Jones Harry Dunn Xueying Nancy Zheng Zi Qi Kok |
| author_facet | Cathy Winter Mary Dixon-Woods Isla Kuhn Guillaume Lamé Elisa Liberati Jenni Burt Sarah Kelly Alice Egerton Tim J Draycott Harry Kyriacou Kathryn Jones Harry Dunn Xueying Nancy Zheng Zi Qi Kok |
| author_sort | Cathy Winter |
| collection | DOAJ |
| description | Objectives Suboptimal intrapartum electronic fetal heart rate monitoring using cardiotocography has remained a persistent problem (EFM-CTG). We aimed to identify the range of influences on the safety of using EFM-CTG in practice.Design Scoping review to identify influences related to the practice of intrapartum EFM.Data sources MEDLINE, Embase, CINAHL, Web of Science, Scopus, British Nursing Index, Cochrane Library, from 1 January 2001 to 25 August 2024, and grey literature.Eligibility criteria Articles that reported potential influences on the clinical practice of intrapartum EFM-CTG in hospital-based intrapartum maternity care settings, including primary studies, secondary analyses, reviews, reports, conference abstracts and investigations relevant to maternity and obstetrics, in English. Evaluations of technological modifications to traditional EFM-CTG monitoring and analysis were excluded.Data extraction and synthesis We extracted influences on EFM-CTG from the included studies. Findings were synthesised using a best-fit framework approach, structured using an existing 19-domain framework of contributory factors for patient safety incidents in hospitals.Results 142 articles and 14 reports were included. Our synthesis identified influences on EFM practice across all 19 domains of the contributory factors framework, including those relating to cognitive, social and organisational factors and interactions between professional work and tools used for fetal monitoring.Conclusion Reducing avoidable harm associated with electronic fetal monitoring requires a systems approach based on a sound understanding of the full range of influences on practice. |
| format | Article |
| id | doaj-art-cdfb365102744e6597983122e17be119 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cdfb365102744e6597983122e17be1192025-01-31T17:40:11ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-085827Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping reviewCathy Winter0Mary Dixon-Woods1Isla Kuhn2Guillaume Lamé3Elisa Liberati4Jenni Burt5Sarah Kelly6Alice Egerton7Tim J Draycott8Harry Kyriacou9Kathryn Jones10Harry Dunn11Xueying Nancy Zheng12Zi Qi Kok13Southmead Hospital, PROMPT Maternity Foundation, Bristol, UKDepartment of Public Health and Primary Care, THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Strangeways Research Laboratory, Cambridge, UKTHIS Institue, University of Cambridge, Cambridge, UKDepartment of Public Health and Primary Care, THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Strangeways Research Laboratory, Cambridge, UKDepartment of Public Health and Primary Care, THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Strangeways Research Laboratory, Cambridge, UKTHIS Labs, Trumpington Mews, Cambridge, UKDepartment of Public Health and Primary Care, THIS Institute (The Healthcare Improvement Studies Institute), University of Cambridge, Strangeways Research Laboratory, Cambridge, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKTranslational Health Sciences, University of Bristol, Bristol, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKUniversity of Cambridge, Cambridge, Cambridgeshire, UKObjectives Suboptimal intrapartum electronic fetal heart rate monitoring using cardiotocography has remained a persistent problem (EFM-CTG). We aimed to identify the range of influences on the safety of using EFM-CTG in practice.Design Scoping review to identify influences related to the practice of intrapartum EFM.Data sources MEDLINE, Embase, CINAHL, Web of Science, Scopus, British Nursing Index, Cochrane Library, from 1 January 2001 to 25 August 2024, and grey literature.Eligibility criteria Articles that reported potential influences on the clinical practice of intrapartum EFM-CTG in hospital-based intrapartum maternity care settings, including primary studies, secondary analyses, reviews, reports, conference abstracts and investigations relevant to maternity and obstetrics, in English. Evaluations of technological modifications to traditional EFM-CTG monitoring and analysis were excluded.Data extraction and synthesis We extracted influences on EFM-CTG from the included studies. Findings were synthesised using a best-fit framework approach, structured using an existing 19-domain framework of contributory factors for patient safety incidents in hospitals.Results 142 articles and 14 reports were included. Our synthesis identified influences on EFM practice across all 19 domains of the contributory factors framework, including those relating to cognitive, social and organisational factors and interactions between professional work and tools used for fetal monitoring.Conclusion Reducing avoidable harm associated with electronic fetal monitoring requires a systems approach based on a sound understanding of the full range of influences on practice.https://bmjopen.bmj.com/content/14/12/e085827.full |
| spellingShingle | Cathy Winter Mary Dixon-Woods Isla Kuhn Guillaume Lamé Elisa Liberati Jenni Burt Sarah Kelly Alice Egerton Tim J Draycott Harry Kyriacou Kathryn Jones Harry Dunn Xueying Nancy Zheng Zi Qi Kok Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review BMJ Open |
| title | Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review |
| title_full | Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review |
| title_fullStr | Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review |
| title_full_unstemmed | Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review |
| title_short | Influences on safety of intrapartum electronic fetal heart rate monitoring practices: a scoping review |
| title_sort | influences on safety of intrapartum electronic fetal heart rate monitoring practices a scoping review |
| url | https://bmjopen.bmj.com/content/14/12/e085827.full |
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