What happens at the postpartum visit? Discordance between patient-reported and electronic medical record-documented postpartum care.
Kaitlyn K Stanhope, Sheree L Boulet, Anna Newton-Levinson et al.
✦ AI-curated · Sources linked
In 30 seconds
This randomized controlled trial examined the discordance between patient-reported and electronic medical record (EMR)-documented postpartum care in 282 pregnant patients with cardiometabolic risk factors. The study found that 74.7% of participants had concordant documentation of postpartum visits, while 20.5% had care documented in only one source. Participants over 34 years were less likely to report discordance (RR: 0.4).
Key findings
- 74.7% of participants had concordant documentation of postpartum visits between self-report and EMR.
- 20.5% had care documented in only one source, with 19.7% in EMR only.
- Participants >34 years were half as likely to report discordance compared to those aged 20-34 (RR: 0.4).
- Concordance for diabetes testing, mood screening, and cardiovascular risk counseling was lower, at 1.1%, 62.7%, and 31.6%, respectively.
Why it matters
Understanding the discrepancies between patient-reported care and EMR documentation is crucial for improving postpartum care quality. Accurate documentation is essential for effective follow-up and management of patients with cardiometabolic risk factors.