title: Improvement in documentation using an electronic checklist for shoulder dystocia deliveries.
abstract: OBJECTIVE
  To estimate if using an electronic checklist improved the documentation of shoulder dystocias that occurred at our institution.
  
  
  METHODS
  A standard checklist of key elements that should be included in the delivery note after a shoulder dystocia was added to the electronic delivery note at our institution. We identified shoulder dystocia deliveries from the department's delivery database for 3 years before and after the checklist was included and compared delivery notes written from these time periods with respect to their content.
  
  
  RESULTS
  Forty-six shoulder dystocia deliveries were identified before the checklist being available and 82 after. There was a significant increase noted in the frequency with which several elements were documented after the checklist was implemented including McRoberts maneuver (before checklist 69%, compared with after checklist 90%, P=.003), head-to-body interval (22% compared with 84%, P<.001), which shoulder was anterior (48% compared with 96%, P<.001), and if the neonate was moving its arms after delivery (50% compared with 93%, P<.001).
  
  
  CONCLUSIONS
  Use of a standard checklist for shoulder dystocia in the delivery note resulted in a significant improvement in the documentation of several critical elements.
  
  
  METHODS
  II.
authors.affiliation: From Madigan Army Medical Center, Tacoma, Washington.
authors.forename: Shad H
authors.initials: SH
authors.lastname: Deering
authors.forename: Kyle
authors.initials: K
authors.lastname: Tobler
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cypher
mesh_terms: D057189:Checklist; D004282:Documentation / Q000379:methods*; D004420:Dystocia / Q000453:epidemiology*; D004581:Electronics; D005260:Female; D006801:Humans; D011247:Pregnancy; D012782:Shoulder