Electronic Fetal Monitoring Hourly Rounding

Electronic fetal monitoring alerts.

May/June 2012 become an issue in medical-legal cases. There are no national standards for setting parameters for EFM alerts or the timeframe expected for acknowledgement. Often default settings are determined when the system is installed and may vary widely from one institution to another. In many cases, the default settings can be altered by the clinician based on the individual patient situat...

Hourly rounding to improve nursing responsiveness: a systematic review.

UNLABELLED The aims of this study were to synthesize the evidence concerning the effect of hourly rounding programs on patient satisfaction with nursing care and discuss implications for nurse administrators. BACKGROUND Patient satisfaction is a key metric that influences both hospital ratings and reimbursement. Studies have suggested that purposeful nursing rounds can improve patient satisfa...

Fetal ECG analysis for intrapartum electronic fetal monitoring: a review.

Computerized analysis of the fetal electrocardiogram has been developed during the past 40 years. A mature system for ST analysis (STAN) has resulted from a series of laboratory and clinical studies. The current STAN system provides adjunctive information to the standard interpretation of fetal heart rate (FHR) patterns. This monograph describes the basis for the STAN methodology, including the...

Electronic Fetal Monitoring: A Defense Lawyer's View.

Electronic fetal monitoring (EFM) has been used for four decades, after its introduction without clinical trials. EFM spawned a birth injury litigation crisis centered on the myth that it predicts cerebral palsy (CP). The myth has resulted in lottery-like judgments against physicians. The American Congress of Obstetricians and Gynecologists (ACOG) and sister organizations worldwide have the pow...

The Future of Electronic Fetal Monitoring