Service Center Research Articles

Facilitating interprofessional learning: experiences of using a digital activity for training handover of critically ill patients between a primary health care centre and ambulance services – a qualitative study

ObjectiveTo explore students’ and facilitators’ experiences of using a developed digital activity for interprofessional learning (IPL) focusing on critically ill patient handovers from a primary healthcare (PHC) centre to the...

The association between internet use and the choice of medical institution among Chinese older adults

BackgroundAs older people have complex medical needs and still encounter challenges in accessing online health information, the relationship between Internet use and the choice of medical institution made by them is unclear, and we aimed to examine this relationship.MethodsData from the newly released 2020 China Family Panel Survey database were used. Furthermore, we used descriptive statistics to analyze the background characteristics of the sample and a logistic regression model to estimate the impact of Internet use on the choice of medical institution made by older adults. We conducted a stratified analysis to explore the influence of different characteristics on the relationship between Internet use and the choice of medical institution.ResultsTotally 4,948 older adults were included. Multivariate logistic regression showed that, compared to non-Internet users, Internet users were less likely to choose community health service centers over general hospitals (P < 0.001, OR = 0.667, 95CI%: 0.558–0.797). The subgroup analyses found that Internet use only had an impact on the choice of medical institution in older adults aged 65–69 years, those with partners, those with primary or secondary education, those residing in urban areas, those without medical insurance, those with a self-rated health status as average or healthy, those with unchanged or better health trend, and those without chronic disease. The effect of Internet use on the choice of medical institution did not differ by sex, satisfaction, or trust in doctors.ConclusionInternet use may significantly affect older adults’ tendency to choose general hospitals to meet their daily medical needs. The subgroup analyses indicated that different characteristics of older people affected this association.

ПРОБЛЕМА ПОВЫШЕНИЯ НАДЕЖНОСТИ МАШИН И ОБОРУДОВАНИЯ

The basis for a satisfactory level of operability of modern machines and equipment of domestic production was and remains the engineering and technical service of equipment and the "Planned preventive maintenance and repair system of machines in agriculture." Timely implementation of mechanized processes and work with low reliability of agricultural machinery requires an increase in the level of reliability and serviceability of the fleet of machines and equipment. (Research purpose) The research purpose is increasing the operational reliability of modern agricultural machinery based on the development and implementation of proprietary technical service. (Materials and methods) Materials obtained as a result of the author's own research and data on the reliability of domestic machinery and equipment from open sources were used in the research. The following methods were applied: comparative assessments, analysis and synthesis of the results of a survey of the operational reliability of agricultural machinery and equipment in real-world operation, the effectiveness of using various forms and methods of organizing their production and technical service. (Results and discussion) It was determined that an increase in the level of operability and reliability of modern domestic equipment can be ensured only with a significant improvement in the quality of manufacturing machinery and equipment and with the direct participation of the equipment manufacturer in technical service based on the proprietary method of technical service. It was noted that the organization of corporate technical service is possible only when creating a corporate production and technological system of mechanical engineering. The solution of this problem by the forces and means of existing separate equipment manufacturing plants is not possible. (Conclusions) To improve the reliability of modern domestic technology, it is necessary to reorganize the existing system of separate manufacturing plants, create large machine-building firms and branded technical service centers.

Long-term blood pressure variability and risk of cardiovascular diseases in populations with different blood pressure status: an ambispective cohort study.

We aimed to investigate the correlation between long-term blood pressure variability (BPV) and the risk of cardiovascular diseases (CVDs) among population with different blood pressure statuses (normotension, well-controlled hypertension, and uncontrolled hypertension). In this ambispective cohort study, CVD-free residents aged over 50 years were consecutively enrolled from two community health service centers (CHCs) in Tianjin, China from April 2017 to May 2017. Information on blood pressure was retrospectively extracted from electronic medical records of CHCs between January 2010 and May 2017, and the occurrence of new-onset CVDs was prospectively observed during follow-up until September 2019. Long-term variation of SBP and DBP was assessed using four indicators: SD, coefficient of variation (CV), average successive variability (ASV), and average real variability (ARV). Cox proportional hazards regression model was developed to identify the potential impact of BPV on the incidence of CVDs. The receiver operating characteristic curve (ROC) was utilized to evaluate the predictive value of BPV indicators for the occurrence of CVDs. Of 1275 participants included, 412 (32.3%) experienced new CVD events during the median 7.7 years of follow-up, with an incidence density of 499/10 000 person-year in the whole cohort. Cox regression analysis revealed that almost all SBP and DBP variability indicators (except for SBP-SD) were significantly related to the risk of CVDs, especially among individuals with well-controlled hypertension. A trend toward an increased risk of CVDs across BPV quartiles was also observed. Moderate predictive abilities of BPV were observed, with the area under ROC curves ranging between 0.649 and 0.736. For SBP variability, SD had the lowest predictive ability, whereas for DBP variability, ARV had the lowest predictive ability. No significant association of CVDs with SBP-SD was found in all analyses, no matter as a continuous or categorical variable. Elevated long-term BPV is associated with an increased risk of CVDs, especially among individuals with well-controlled hypertension. CV and ASV had higher predictive values than SD and ARV.

Risk Management Implementation In the Public Service Agency of the Technology Service Center of the National Research and Innovation Agency

Risk Management Implementation In the Public Service Agency of the Technology Service Center of the National Research and Innovation Agency

THE RELATIONSHIP BETWEEN CAREER DEVELOPMENT CENTER INFORMATION SERVICES AND STUDENTS' CAREER PLANNING SKILLS AT UIN RADEN FATAH PALEMBANG

The purpose of this study was to determine the relationship between career development center information services and students' career planning skills. This study uses a quantitative approach with a correlational research type. The population amounted to 141 students. From the sampling technique used using Slovin, there was a sample of 59 students. Data collection techniques using questionnaires and documentation, with a total of 25 question items from each instrument. After testing the validity with the results of rcount greater than rtable, the data is declared valid. The data analysis technique used uses the product-moment correlation test. The results of this study indicate that from the results of the product-moment correlation data test, there is a relationship between career development center information services and career planning skills in the moderate category. The determination of the relationship is taken based on the interpretation of the correlation coefficient which is in the interval between 0.40 - 0.599. Based on data hypothesis testing in the research that has been done, there is no relationship between career development center services and students' career planning skills, there is a value of 0.528 which means that the relationship has a moderate relationship. However, in terms of the strength of the relationship between Career Development Center information services and student career planning, the strength of the relationship is quite strong. This means that this career planning ability is not too strongly related to the career development center information service or in other words, the career planning ability has a relationship but little.

Agile Establishment of ERP System Roll Out in Maintaining Production Sustainability during the PSC Transition &amp; Liquidation Phase Case Study a Site Acquisition in the Oil &amp; Gas Industry

In the dynamic landscape of the Oil &amp; Gas Industry, Information Technology (IT) emerges not only as an enabler but as the central driving force reshaping business operational paradigms. This paper delves into the transformative power of Enterprise Resource Planning (ERP) systems, with a spotlight on the agile approach unveils the critical role of the Software as a Service (SaaS) Systems establishment of the Applications, and Products in Data Processing (SAP), in providing a means to mitigate the business process gaps anticipates the indefinite time of Gazettal issuance, streamlining operations, and accelerate business deployment to maintain the oil production sustainability during liquidation and transition phase for a new Production Sharing Contract (PSC) in the case study of a site acquisition in Oil &amp; Gas Industry. The primary data collection is gathered through Focus Group Discussions (FGDs) with key stakeholders, including the Company’s Management, Subholding Upstream, and Holding’s task force team consisting of SAP Consultants, and Business Process Owners (Subject Matter Experts) who are well-versed in the business requirements and current surrounding issues. Combining the literature review for secondary data collection for broader context and insights into best practices and lessons learned in similar cases. The data analysis focuses on the External Strategic Factors Analysis Summary (EFAS) is conducted using PESTLE, Porter’s Five Forces, and the Competitor Analysis to gain a competitive landscape, while the Internal Strategic Factors Analysis Summary (IFAS) with the VRIO framework, assessing a firm’s internal resources and capabilities to maintain a competitive edge over the long term, summarizes the key external &amp; internal factors for the SWOT analysis resulting the alternative strategies. The ultimate best alternative strategy utilizes the Quantitative Strategic Planning Matrix (QSPM) method by analyzing attractiveness scores to the factors &amp; enhances the probability of selecting the best strategic options. Through real-world case studies on a site acquisition and Oil &amp; Gas Industry insights, the paper underscores how SAP SaaS Roll-Out with an established Shared Service Centre as a support organization could revolutionize the Oil &amp; Gas sector, paving the way for enhanced efficiency, sustainability, and strategic decision-making would benefit in the Liquidation and Transition phase of a PSC. Ultimately, this research illuminates the indispensable nature of the SAP applications, as the linchpin driving the industry’s progression towards a more agile, competitive, and ready-to-use landscape as it opens further feasibility study of SAP SaaS “packaged-solution” deployment for the benefit of next block acquisition.

SODA - a tool to predict storm induced orbit decays for low Earth orbiting satellites

Due to the rapidly increasing technological progress in the last decades, the issue of space weather and its influences on our everyday life gains more and more importance. Today, satellite-based navigation plays a key role in aviation, logistics and transportation systems. With the strong rise of the current solar cycle 25 the number and intensity of solar eruptions increased. The forecasting tool SODA (Satellite Orbit DecAy) is based on an interdisciplinary analysis of space geodetic observations and solar wind in situ measurements. It predicts the effect of coronal mass ejections from their in-situ measured counterparts (ICME) on the altitude of low Earth orbiting satellites at 490 km with a lead time of about 20 hours. Additionally, it classifies the severeness of the expected geomagnetic storm in the form of the Space Weather G–scale from the National Oceanic and Atmospheric Administration (NOAA). For the establishment and validation of SODA, we examined 360 ICME events over a period of 21 years. Appropriated variations in the thermospheric neutral mass density, were derived mainly from measurements of the Gravity Recovery and Climate Experiment (GRACE) satellite mission. Related changes in the interplanetary magnetic field component Bz were investigated from real-time measurements using data from spacecraft located at the Lagrange point L1. The analysis of the ICME induced orbit decays and the interplanetary magnetic field showed a strong correlation as well as a time delay between the ICME and the associated thermospheric response. The derived results are implemented in the real- forecasting tool SODA, which integrated in the Space Safety Program Ionospheric Weather Expert Service Center; I.161 of the Space Agency (ESA).

Continuous Urine Output-Based Alert Identifies Cardiac Surgery–associated Acute Kidney Injury Earlier Than Serum Creatinine: A Prospective and Retrospective Observational Study

Objective(s)Acute kidney injury (AKI) is defined and staged by reduced urine output (UO) and increased serum creatinine (SCr). UO is typically measured manually and documented in the electronic health record, making early and reliable detection of oliguria-based AKI and electronic data extraction challenging. We investigated the diagnostic performance of continuous UO, enabled by active drain line clearance, based alerts (Accuryn AKI Alert), compared to AKI stage 2 SCr criteria and their association to length of stay (LOS), need for continuous renal replacement therapy (CRRT), and 30-day mortality. DesignProspective and retrospective observational study. SettingNine tertiary centers. ParticipantsCardiac surgery patients. InterventionsNone. Measurements and Main Results522 patients were analyzed. AKI stages 1, 2, and 3 were diagnosed in 32.18%, 30.46%, and 3.64% of patients based on UO compared to 33.72%, 4.60%, and 3.26% of patients using SCr, respectively. Continuous UO-based alerts diagnosed stage ≥1 AKI 33.6 (IQR= [15.43, 95.68]) hours before stage ≥2 identified by SCr. A SCr-based diagnosis of AKI stage ≥2 has been designated a Hospital Harm by the Centers for Medicare & Medicaid Services. Using this criterion as a benchmark, AKI alerts had a discriminative power of 0.78. AKI Alert stage 1 was significantly associated with increased ICU and hospital LOS and CRRT, and stage ≥2 alert with mortality. ConclusionsAKI Alert based on continuous UO, enabled by active drain line clearance, detected AKI stages 1 and 2 before SCr. Early AKI detection allows for early kidney optimization, potentially improving patient outcomes.

Shifting the Focus: Intra-acting with Diverse Agencies and Happy Objects in a Day Center of Disability Services

The article is based on the author’s experiences of facilitating creative movement groups in a disability services day center. Through artistic and performative research, she investigates different forms of agency in and around the movement groups. She draws on theoretical perspectives from critical disability studies, feminist new materialism and affect studies, par­ticularly focusing on Sara Ahmed’s (2010) notion of the “happy object,” to challenge the human-centric view of arts education and artistic agency. She proposes a shift of focus in arts education from individual agents to the intra-action of diverse agencies in art making, teaching, and learning in diverse contexts.

The effect of educational intervention based on health belief model on colorectal cancer screening behaviors

BackgroundColorectal cancer is the second most prevalent cause of death from malignancies globally. The present study was conducted targeting the influence of an educational intervention based on the health belief model (HBM) on colorectal cancer screening behaviors in people 50 years old and older.MethodsAll 134 samples were included in this quasi-experimental study from Fasa City Health Service Center, equal halves were random into experimental group and control group. The data collection tool was a questionnaire that contained questions on demographic variables, knowledge, and HBM constructs (perceived sensitivity, perceived intensity, perceived benefits, perceived barriers, self-efficacy, and screening behaviors). Both groups answered the questionnaire before and two months following the intervention. There were six 90-minute instruction sessions for the intervention group. SPSS 22 and descriptive and analytical tests (independent t-test, paired t-test, and Chi-square test) were used for data analysis (P < 0.05).Results59 women and 75 men took part in this study. A majority of participants were married and had at least high school diploma. The findings indicated that the mean scores for knowledge, each of the HBM’s constructs, and cancer screening behaviors did not differ significantly from one another before the intervention between the test group and the control group. However, post the intervention, the intervention group exhibited a significant rise in all mentioned dimensions.ConclusionIn light of the outcomes, the application of the HBM on colorectal cancer screening behaviors in people 50 years and older was successful. This approach might serve as a helpful foundation for planning, carrying out, and overseeing colorectal cancer screening programs.

A Contemporary Evaluation of the Centers for Medicare and Medicaid Services High-Risk Indicators for Carotid Endarterectomy.

Compare stroke/death outcomes across Carotid Endarterectomy (CEA), Transcarotid Artery Revascularization (TCAR), and Transfemoral Carotid Artery Stenting (TFCAS) using Centers for Medicare & Medicaid Services (CMS) high-risk criterion. Existing literature has revealed inconsistencies with CMS risk guidelines. With recent approval for TCAR and TFCAS in standard risk patients, an updated analysis of guidelines is needed. Data from the Vascular Quality Initiative (VQI) (2016-2023) on CEA, TFCAS, or TCAR patients were used. We used inverse probability of treatment weighting to compare in-hospital stroke/death rates across procedures for high-risk criteria: contralateral occlusion (CLO), prior CEA, CAS, radiation, neck surgery, moderate to severe CHF, severe COPD (on home O2), unstable angina, recent MI (<6mo.), and age (≥75 years-old). A total of 199,050 patients were analyzed, of whom 122,737 (62%) patients underwent CEA, 50,095 (25%) TCAR, and 26,218 (13%) TFCAS. TCAR had lower odds of stroke/death compared to CEA in patients with CLO (aOR=0.73 [95%CI:0.55-0.98], P=0.035) and radiation (aOR=0.44[95%CI:0.23-0.82], P=0.010). Contrary to CMS criteria, CEA patients did not have higher stroke/death in patients with prior CEA, CAS, neck surgery, moderate to severe CHF, severe COPD, unstable angina, recent MI, or age (≥75) compared to TCAR and TFCAS. While CMS high-risk criteria have traditionally been recognized as contraindications for CEA, our study reveals inconsistencies-with CEA performing similarly to TCAR and significantly better than TFCAS in patients with prior CEA, moderate to severe CHF, recent MI, or age (≥75). As a result, the definition of high-risk criteria may warrant reconsideration.

Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings

Despite widespread use to guide patients to hospitals providing the best care, it remains unknown whether Centers for Medicare & Medicaid Services (CMS) hospital star ratings are a reliable measure of hospital surgical quality. To examine the CMS hospital star ratings and hospital surgical quality measured by 30-day postoperative mortality, serious complications, and readmission rates for Medicare beneficiaries undergoing colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, and incisional hernia repair. This cohort study evaluated 100% Medicare administrative claims for nonfederal acute care hospitals with a CMS hospital star rating for calendar years 2014-2018. Data analysis was performed from January 15, 2022, to April 30, 2023. Participants included fee-for-service Medicare beneficiaries aged 66 to 99 years who underwent colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, or incisional hernia repair with continuous Medicare coverage for 3 months before and 6 months after surgery. Centers for Medicare & Medicaid Services hospital star rating. Risk- and reliability-adjusted hospital rates of 30-day postoperative mortality, serious complications, and 30-day readmissions were measured and compared across hospitals and star ratings. A total of 1 898 829 patients underwent colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, or incisional hernia repair at 3240 hospitals with a CMS hospital star rating. Mean (SD) age was 74.8 (7.0) years, 50.6% of the patients were male, and 86.5% identified as White. Risk- and reliability-adjusted 30-day mortality rate decreased in a stepwise fashion from 6.80% (95% CI, 6.79%-6.81%) in 1-star hospitals to 4.93% (95% CI, 4.93%-4.94%) in 5-star hospitals (adjusted odds ratio, 1.86; 95% CI, 1.73-2.00). There was wide variation in the rates of hospital mortality (variation, 1.89%; range, 2.4%-16.2%), serious complications (variation, 1.97%; range, 5.5%-45.1%), and readmission (variation, 1.27%; range, 9.1%-22.5%) across all hospitals. After stratifying hospitals by their star rating, similar patterns of variation were observed within star rating groups for 30-day mortality: 1 star (variation, 1.91%; range, 3.6%-12.0%), 2 star (variation, 1.86%; range, 2.8%-16.2%), 3 star (variation, 1.84%; range, 2.9%-12.3%), 4 star (variation, 1.76%; range, 2.9%-11.5%), and 5 star (variation, 1.79%; range, 2.4%-9.1%). Similar patterns were observed for serious complications and readmissions. Although CMS hospital star rating was associated with postoperative mortality, serious complications, and readmissions, there was wide variation in surgical outcomes within each star rating group. These findings highlight the limitations of the CMS hospital star rating system as a measure of surgical quality and should be a call for continued improvement of publicly reported hospital grade measures.

Evaluating Saudi Parental Interagency on Collaborative Initiatives for Successful Post-Secondary Transition of Students with Intellectual Disabilities.

Effective collaboration between schools and community agencies is paramount for the successful transition of students with disabilities to post-secondary educational settings. This study, conducted in Riyadh, Saudi Arabia, focuses on assessing the level of collaboration from the perspective of parents of students with intellectual disabilities. Using descriptive analysis, data was gathered from 191 parents, and the results indicate a perceived low level of collaboration between schools and various agencies in planning and supporting the transition to post-secondary environments. The study results evaluate collaboration in three dimensions: (a) universities rank lowest with =1.61 and SD=1.102). (b) vocational training centers ranking highest (1st rank) with an = 1.97 and SD = 1.079), and (c) other relevant service centers 2nd rank with =1.69 and SD= 1.177. The findings emphasize the necessity for legislative measures directing agencies to engage in collaborative agreements with secondary schools. This proactive approach aims to enhance opportunities for students with intellectual disabilities during their transition to post-secondary education and training. The study concludes with implications for future research and recommendations for fostering improved collaboration and support mechanisms.

Proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar City health centers, Northwest, Ethiopia

BackgroundSexually transmitted infection is a common public health issue of youths and is characteristically transmitted through sexual intercourse. Even though early treatment for sexually transmitted infection is very important to reduce further complications and economic burden, studies to identify the proportion and the possible factor of early treatment seeking is rare in Ethiopia.ObjectiveTo assess the proportion of early treatment seeking for sexually transmitted infections and associated factors among patients attending youth friendly service in Bahir Dar city health centers, northwest, Ethiopia 2023.MethodInstitutional based Cross-sectional study was used among 407 participants from April 25 to May 24 /2023. A systematic random sampling technique was used to select the participants. An interview-administered questionnaire was used for data collection, whereas Epi-data version 4.6.0.2 and the statistical package for statistical science version 23 were used for data entry and analysis respectively. A frequency table and bar chart were used for descriptive analysis. Multiple binary logistic regression was employed to identify the factors at p-value of <0.05. The necessary assumption of the model was also checked by the Hosmer and Lemishow test.ResultsThe response rate of this study was 391 (96.1%) and the proportion of early treatment for sexually transmitted infection was 108 (27.6%, 95%CI; 23-32). Good knowledge about sexually transmitted infection (AOR=1.98, 95CI%; 1.13-3.47) know about their HIV status (AOR=1.95, 95%CI; 1.13-3.36), perceive severity of sexually transmitted infection (AOR=11.23, 95%CI; 6.15-20.45), and not fear the stigma about being infected with sexually transmitted infection (AOR=2.29, 95%CI; 1.32-3.96) were the significantly associated factors for early treatment of sexually transmitted infection.Conclusion and recommendationThe proportion of early treatment for sexually transmitted infection in Bahir Dar city was low. Knowledge about STIs, testing/ knowing HIV status, perception of the severity about sexually transmitted infection, and fear of stigma about sexually transmitted infection were the statistically significant factors for early treatment of sexually transmitted infection. So the government better give attention to health education and other health promotion activities to increase the knowledge of youths about sexually transmitted infection and to change their perception of sexually transmitted infection.

PT10 Utility of the ISPOR Presentations Database to Support the Centers for Medicare and Medicaid Services (CMS) Drug Price Negotiation (DPN): An Apixaban and Rivaroxaban Case Study

PT10 Utility of the ISPOR Presentations Database to Support the Centers for Medicare and Medicaid Services (CMS) Drug Price Negotiation (DPN): An Apixaban and Rivaroxaban Case Study

Analysis Quality of Service using Service Performance and Importance Performance Analysis Method at Community Health Center

Community health center is a health services in Indonesia that aims to organize first-level public health efforts. The current condition observed in level one health centers in Indonesia relates to the services provided. A large portion of patients who have experienced the services express dissatisfaction with the level of service provided. This research aims to determine the quality of service in community health center and provide advices to improve the quality of health center services. The method used in this research is the Servperf method and Importance Performance Analysis. Based on research with the service performance method, the mean performance level is 3,39 and the mean importance level is 4,38. Meanwhile, the Importance Performance Analysis obtained the level of conformity between performance and importance is 77,49% with seven atrributes of service quality dimensions that enter quadrant I and are the top priority for improvement. The proposed improvements are made to improve the quality of health center services in the future by adjusting the main priority attributes of improvements to the Importance Performance Analysis diagram.

Enhance Knowing Thyself and Self-Development Based on Personality Types Through LKMM Implementation

Getting to know and developing oneself is a task in every stage of human life development. Knowing and developing oneself into a potential individual, various approaches and methods should be used to achieve the goals. LKMM is one of the many approaches and ways to help students recognize and develop their own self potential. What does the abbreviation LKMM stand for? The abbreviation LKMM stands for the following characteristics: L (Latihan) K (Keterampilan) M (Manajemen) M (Mahasiswa) which means Students Skill Management Training (SSMT). The aim of this journal article is to re-mix the theme of "self-recognition and development" which is conducted in LKMM activities based on theories of self-recognition and self-development. Two methods are used to summarize this review, namely a literature review as a theoretical framework and a personality type assessment for volunteer participants and a lecturing method in three days LKMM activities. The results of the assessment and its interpretation supported by a lot of theories are presented in this review. The main elements discussed in this article are the essence of self, knowing thyself, and one's own potential, self-development, and LKMM as a training program and the guidelines of its implementation. This activity was held in collaboration with the HMPS PGSD committee and the Counseling Service Center and Campus Ministry of the University of Flores. The target group is third semester PGSD students at Flores University. The element of novelty of this article is that within the scope of PGSD at the University of Flores, there has never been a psychological examination related to the types of personality traits that can be used as a reference for fostering self-recognition and development of students.

A Novel Self-Adaptation Approach for Multi-Domain Communication Considering Heterogenerous Power Service in Data Centers

A Novel Self-Adaptation Approach for Multi-Domain Communication Considering Heterogenerous Power Service in Data Centers

Significance of Mid-Pregnancy Down Syndrome Risk Screening in Predicting Adverse Maternal and Fetal Outcomes

Objective: To investigate the value of mid-pregnancy Down syndrome risk screening in predicting adverse maternal and fetal outcomes. Methods: 536 mothers who underwent mid-pregnancy screening for Down syndrome at Chengyang District Maternal and Child Healthcare and Family Planning Service Center from January 2021 to December 2022 were selected for retrospective analysis. The risk was calculated using the Asian population database in the American prenatal screening software PRISCA 4.0, combined with the age, gestational week, and body mass of the day of the pregnant women's blood collection. Results: The screening results showed that there were 469, 54, and 13 cases in the low-risk, critical-risk, and high-risk groups, respectively, and there were no statistically significant differences in the age and body mass of each group (P &gt; 0.05). However, there was a significant difference between the adverse fetal outcomes in low-risk, critical-risk, and high-risk groups (P &lt; 0.05); and the screening results showed that there was a significant difference between the adverse maternal outcomes in the low-risk, critical-risk, and high-risk groups (P &lt; 0.05). Conclusion: There is a relationship between the high risk of Down syndrome detected through screening and adverse maternal and fetal outcomes. Besides, the false positive and negative rates of Down syndrome screening results are positively correlated with adverse maternal and fetal outcomes.