Implementation of Pregnancy Checklist into Clinic Workflow: A Quality Improvement Initiative

Journal of Pediatric and Adolescent Gynecology
J DallaireM Kottke

Abstract

This project aims to implement the Pregnancy Reasonably Excluded Guide in an outpatient family planning teen clinic using the EPIDEM quality improvement (QI) framework. Quality improvement SETTING: Outpatient family planning teen clinic in an urban center. Female teen clinic patients (ages 13-19). The use of the EPIDEM (Explore relevant issues and contextual factors, Promote to the right people, Implement timely solutions, Document steps, Evaluate with meaningful measures, Make modifications to improve interventions further) QI framework to implement the Pregnancy Reasonably Excluded Guide is detailed in Figure 1. The primary outcome was % of eligible visits in which checklist was used. The secondary outcome was % of encounters in which a UPT was ordered pre- and post- implementation. A total of 383 eligible encounters were reviewed pre- and post-implementation. Prior to implementation, there was no use of the checklist in clinic. After implementation, 81.8% of eligible encounters used the checklist. Prior to implementation, 37.3 % of encounters had a UPT ordered. After implementation, 27.0% of encounters had a UPT ordered; there was a 27.6% decrease in UPTs ordered (p = .036). The pregnancy checklist can be successfully implem...Continue Reading

References

Jan 7, 2006·Studies in Family Planning·John StanbackMahamodou Traoré
Aug 12, 2009·Healthcare Quarterly·Stephanie SooG Ross Baker
Sep 8, 2012·Journal of the American Board of Family Medicine : JABFM·Eric K ShawPaul A Nutting
Oct 9, 2012·Contraception·Naomi K TepperKathryn M Curtis
May 3, 2014·Obstetrics and Gynecology·Maura K WhitemanPolly A Marchbanks
Mar 27, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Samuel A SilverGlenn M Chertow
Sep 14, 2018·American Journal of Clinical Pathology·Feng YinYaolin Zhou
Dec 7, 2018·International Journal of Evidence-based Healthcare·Madison WilsonMarilynne Wood

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