Finally, the technical complexity of establishing standards is challenging. As Koppel explains, even something ostensibly simple, such as for example blood-pressure measurement, can get dropped in translation because of the modifiers accompanying the numbers: standing, seated, preinjection, labile, non-compliant. So imagine a common language for MRI reports or operative notes. Although sector influence is indisputable, this explanation conflicts with the impression I acquired from Judy Faulkner, chief executive officer of EHR maker Epic Systems, who advocates for government-created specifications.In a subgroup analysis, we found no evidence of a benefit with the use of an intrauterine pressure catheter in obese women, although this locating should cautiously end up being interpreted, since the analysis was hoc and its own power was limited post. We chose never to include women with a scarred uterus inside our trial because they are at increased risk for uterine rupture, during induction of labor especially.11,12 Although many clinicians elect to make use of an intrauterine pressure catheter in such females when vaginal delivery is attempted, with the expectation that it could facilitate the early analysis of uterine rupture,13 this practice isn’t supported by data.