It is “scandalous” that the government is not investigating a controversial electronic charting system used in maternity hospitals, an independent obstetrics expert has said.
r Richard Porter, who lives in the UK and is regularly consulted for Irish maternity cases, said he has repeatedly raised concerns about the technology.
The Maternal and Newborn Clinical Management System, known as MN-CMS, was criticized during an inquest into the death of a baby at Dublin’s Rotunda Hospital.
Prof Sam Coulter-Smith, a consultant obstetrician, said this week the maternity home has “lost control of the process” on how it keeps medical records.
The former Rotunda master made the comments during an inquest into the death of baby Molly McEvoy.
The child died 25 minutes after birth on July 14, 2018, which her parents attributed to “a series of mistakes.”
It has emerged that the same system was flagged after the deaths of a woman and baby at Cork University Maternity Hospital (CUMH) last year.
A review of the HSE systems following the deaths of Marie Downey and Baby Darragh at CUMH in March 2019 found that the way the recording system displays critical information should be changed.
More than 40 percent of women giving birth in Ireland have their horoscopes in the MN-CMS system.
In the last five years it has been introduced at the Rotunda and the National Maternity Hospital in Dublin, CUMH and University Hospital Kerry.
There are plans to expand it to all 19 maternity wards to have a national maternity card.
dr Porter described having to process “hundreds and hundreds of pages of cyber drivel” with the system.
“It’s just completely incomprehensible,” he said. “It takes hours to figure out what is relevant and what is completely irrelevant.
“It takes me hours to get useful information. No doctor will have more than a few minutes to question this. It looks totally bizarre.”
dr Porter said he was “really shocked” to read Prof Coulter-Smith’s comments, adding: “In a way, it confirmed my own suspicions that the system is not good enough. It’s really scandalous. Why aren’t the loudest alarm bells ringing in the Ministry of Health?”
In a statement, the HSE said its board had approved two more hospitals to adopt the system from next year.
“MN-CMS is constantly evolving,” said the HSE. “That
The electronic chart is not designed to be viewed on paper, instead the focus is on ease of use for doctors attending to patients.
“The paper printout of the map is continually being improved to provide access for those who do not have electronic access to the map.”
Earlier this year, the Irish Independent revealed that correspondence between maternity hospitals and the HSE raised concerns that the MN-CMS posed a “significant clinical risk” to mothers and babies.
https://www.independent.ie/irish-news/health/medical-expert-raised-concerns-over-controversial-electronic-chart-system-used-in-maternity-wards-42138395.html A medical expert raised concerns about the controversial electronic charting system used in maternity wards