[Perinatal Information System. Incorporation latency and impact on perinatal clinical registry].
The Perinatal Information System (SIP) is a clinical record, local management and quality assurance software standard in Latin America and the Caribbean. The time to implement SIP in a Maternity Hospital is evaluated as well as the effect of statistics on perinatal health indicators in subsequent years. In the sample of 20 Maternity Hospitals (5 Countries, 40% Private and 60% Public) 85% had a reliable information system by the third year of use of SIP. 15% of hospitals still had problems at that time that were already clear during the second year, a time corrective measures can still be taken. The evaluation of the impact of yearly reports shows that 58% of recommendations were fulfilled, specially those regarding the complete filling-in of clinical records (62%) and to a lesser extent variables that reflect clinical practices and organization of services (52%). The conclusion is that Maternity Hospitals in Latin America and the Caribbean have the capacity to adopt a complex tool of computerized clinical records for quality assurance of perinatal care and monitoring of health indicators.
Simini
F
F
Centro Latinoamericano de Perinatología y Desarrollo Humano CLAP (OPS/OMS), Hospital de Clínicas, Montevideo, Uruguay.
Fernández
A
A
Sosa
C
C
Díaz Rossello
J L
JL
D005260:Female; D006801:Humans; D007843:Latin America; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D018743:Perinatal Care / Q000706:statistics & numerical data*; D011247:Pregnancy; D012042:Registries / Q000706:statistics & numerical data*