TY - JOUR T1 - MedNav – helping midwives manage neonatal resuscitation in resource poor settings JF - Future Hospital Journal JO - Future Hosp J SP - 178 LP - 183 DO - 10.7861/futurehosp.4-3-178 VL - 4 IS - 3 AU - Shane Duffy AU - Ed MacLaren AU - Dan Phillips AU - Pippa Letchworth Y1 - 2017/10/01 UR - http://www.rcpjournals.org/content/4/3/178.abstract N2 - We set out to understand whether MedNav, a digital decision support tool, improves the quality of neonatal resuscitation practice in resource poor settings. A 6-month long trial in Uganda showed that adherence to good practice increased from a mean of 46% without MedNav to 94% with MedNav. The mean system usability score was self-assessed at 84.5%. While the younger midwifery team liked MedNav, it was unpopular with senior members of staff who felt that staff should not rely on support tools even if they improved ­clinical practice. Next steps include a larger scale study ­looking at neonatal survival outcomes and greater attention to the ­barriers that need to be overcome in order to enhance ­acceptance and adoption. ER -