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Standardizing Screening for Preeclampsia Risk Factors to Improve Prescribing of Low-Dose Aspirin

Adriane Burgess, Kara Dalke, Julia Wheeling

    Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
    |August 30, 2022
    PubMed

    Insights

    Implementing an electronic health record (EHR) preeclampsia risk screen improved aspirin prescribing for high-risk pregnancies. This quality improvement initiative standardized care and enhanced patient outcomes in obstetric and family practice settings.

    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Health Services Research

    Background:

    • Preeclampsia is a significant cause of maternal and infant complications.
    • Low-dose aspirin is recommended for preeclampsia prevention in high-risk individuals.
    • Standardized screening and treatment protocols are crucial for effective management.

    Purpose of the Study:

    • To implement and evaluate an EHR-based preeclampsia risk screening tool.
    • To improve the rate of low-dose aspirin prescription for high-risk pregnancies.
    • To ensure adherence to clinical guidelines for preeclampsia prevention.

    Main Methods:

    • A quality improvement project was conducted across 13 OB/GYN and family practice offices.
    • An EHR-integrated preeclampsia risk screen was implemented for standardized patient assessment.
    • Provider screening and aspirin prescribing rates were monitored using EHR analytics.

    Main Results:

    • Initial screening rates reached 74.2% in the first 3 months, with 41% testing positive and 81.3% receiving aspirin.
    • After 9 months, screening rates improved to 95.6%, with 39.6% positive screens and 97.1% appropriate aspirin prescription.
    • The EHR tool demonstrated significant improvements in screening and prescribing adherence.

    Conclusions:

    • EHR implementation of a preeclampsia risk screen effectively standardized care.
    • The project successfully increased the appropriate use of low-dose aspirin for preeclampsia prevention.
    • This quality improvement initiative positively impacted maternal healthcare delivery and patient safety.

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