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An Innovative Framework to Improve Teratogenic Medication Risk Counseling
Veterans Affairs providers can now use the TARCC framework to improve counseling on teratogenic medications for women of childbearing age. This system enhances prescribing practices by guiding discussions on medication risks and contraception.
Area of Science:
- Pharmacology
- Women's Health
- Health Services Research
Background:
- Veterans Affairs (VA) healthcare systems serve increasing numbers of women of childbearing age.
- A significant proportion of women veterans receive teratogenic medications (Category D or X).
- Many women veterans lack adequate counseling on teratogenic medication risks and contraception.
Purpose of the Study:
- To develop and implement a framework to improve teratogenic medication prescribing practices for women veterans.
- To enhance communication regarding teratogenic medication risks and contraceptive options.
Main Methods:
- Development of the TARCC (Teratogen, Alternative, Risks, Contraception, Chart) framework.
- Integration of TARCC into an electronic health record (EHR) reminder system for primary care providers.
- Inclusion of educational tools, consult options, and a Teratogen Pharmacy E-consult service.
Main Results:
- The TARCC framework was successfully developed and integrated into the EHR.
- The system provides prompts and resources to guide providers through teratogenic risk and contraceptive counseling.
- A Teratogen Pharmacy E-consult was established to support medication review and recommendations.
Conclusions:
- The TARCC framework offers a structured approach to improve teratogenic medication counseling in the VA system.
- Implementation within an EHR reminder system can enhance provider adherence to best practices.
- This initiative aims to reduce potential harm from teratogenic medications in women veterans.
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Teratogenicity
Drug Toxicity: Risk factors
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Drug Regulation