Development and validation of a risk stratification tool for assessment of maternal and neonatal morbidity and mortality using data from the National Maternal and Newborn Clinical Management System

Many women and their unborn babies experience problems during pregnancy. Occasionally mothers or babies die. These outcomes vary across hospitals. Currently, there is no accepted method of comparing outcomes between hospitals. Therefore, we do not know if all hospitals are performing to standard, or whether there are worse or better outcomes in certain hospitals. In 2016, the Republic of Ireland rolled out a national project called The Maternal & Newborn Clinical Management System (MN-CMS) which is the design and implementation of an electronic health record for all women and their babies. With this system, all pregnant women in maternity services in Ireland are being switched from paper clinical notes to an electronic health record (EHR). This record will allow all maternal and newborn information to be stored on one record, and easily accessed and shared with relevant providers of care across all Irish maternity hospitals, as and when required. The system has been rolled out in four hospitals to date, and by 2020, all pregnant women in Ireland will have an electronic health record. This project will use and examine currently available data from this electronic record to firstly ensure data are accurate. We will examine adverse outcomes and what influences them. We will develop patient- reported outcome measures. Finally, we will compare a range of clinical outcomes of hospitals such as bleeding, infection, admission to special care nursery and stillbirth using the data. This will inform us of modifiable ways to improve our health outcomes for mothers and their babies. This project will, for the first time, allow us to accurately identify those hospitals that have worse outcomes compared with others, and allow us to direct resources towards improving outcomes.

Award Date
06 October 2019
Award Value
Principal Investigator
Dr Fergus McCarthy
Host Institution
University College Cork
Secondary Data Analysis Projects