First medical aid documentation
  • 2014 № 4 Modernization of the primary medical documentation Maternity and the child health services (On conducting newborns at stages of obstetrical and children's hospitals) (FSBI «the Central scientific research institute of the organization and information of public health services Ministry of Health of the Russian Federation», Moscow, Russia)

    The concept of construction of the registration documentation on conducting newborns in conditions of obstetrical hospital (in delivery room, physiological branch of newborns and branch of resuscitation and intensive therapy) — with corresponding supplementary sheets to estimate state of health and conducting of premature babies and sick newborns — is stated. Projects of the documentation of the exchange character intended for data transmission about a current of pregnancy and a state health of mother and a fruit from female consultation in obstetrical hospital and from obstetrical hospital to female consultation (data on the woman and its posterity), in children's polyclinic are resulted. In connection with peculiarities of features of an estimation of state of health and conditions of conducting of premature babies and sick children in the conditions of children's hospital (at the second stage) the project of the new registration document «Medical card of the newborn receiving medical care in the conditions of a hospital of the second stage» is developed and presented in article.

    Authors: Leonov S. A. [12] Tsybulskaja I. S. [2] Zajchenko N. M. [2]

    Tags: a maturity estimation1 an obstetric hospital1 anthropometrical indicators1 gestational age1 intensive supervision1 mother2 of premature babies1 the centil table1 the newborn1 the second stage of nursing1 the sick child1

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  • 2014 № 3 Modernization of the primary medical documentation services of maternity and child health (On observation of the pregnant woman, the lying-in woman and the woman in childbirth) (ASDI «The Central scientific research institute of the organization and informatization of public health services» of the ministry of health of the Russian Federation, Moscow, Russia)

    In article the substantiation of necessity of modernization of the primary medical documentation is stated because operating documents «the Medical card of the pregnant woman and the woman in childbirth» (the form 111/acount), «History of sorts» (the form 96/ac) and «the Exchange card of female consultation and maternity hospital» (the form 113/ac) have become outdated and do not correspond to modern requirements and technologies. The concept of constructing of the new documentation-unified, computer-oriented is stated, which allows using a block principle to build up the algorithms of observation of patients accepted now at different stages of reproductive process and reduces time of filling of medical cards. Offered documents have passed approbation on pilot projects and contain all data necessary for monitoring condition of the woman, a fruit and the child, and allows to estimate activity of the medical personnel of establishments, state of health of women of reproductive age and quality of posterity on territories and drawing up of the statistical reporting (FSO № 32).

    Authors: Leonov S. A. [12] Tsybulskaja I. S. [2] Zajchenko N. M. [2]

    Tags: a fruit1 algorithm of observation1 base documents1 loose leaves1 modernization1 newborn1 pregnant and the lying-in women1 statistics3 the primary medical documentation1 unification1

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