在学术风湿病诊所增加避孕文档:质量改善方法
Caroline H Siegel1, Deanna Jannat-Khah2, Avi L Mikhaylov2
1Hospital for Special Surgery and Weill Cornell Medicine, New York, New York.
ACR open rheumatology
|January 23, 2025
概括
一项质量改善计划成功地在24周内将学术类风湿病诊所的避孕文档从11%增加到54%. 妇女生殖健康护理的改善持续了一年.
科学领域:
- 类风湿病学 类风湿病学
- 提高质量 提高质量
- 妇女健康 妇女健康
背景情况:
- 避孕查和记录对于生育年龄的妇女至关重要.
- 学术风湿病诊所为可能受益于增强生殖健康服务的人群提供服务.
研究的目的:
- 在一个学术类风湿病学学员诊所增加供应商查和对生殖年龄妇女避孕使用的记录.
- 在24周内实现超过50%的文档化率,并维持一年.
主要方法:
- 一个多学科团队在24周内实施了6个干预周期.
- 关键干预包括教育课程,文档指导,脚本和电子邮件提醒.
- 主要结局是有记录的避孕信息的符合条件访问的百分比;吸烟状况文件是平衡措施.
主要成果:
- 在24周内,避孕文献从11%增加到54%.
- 在一年的时间里,利率维持在50%的水平.
- 吸烟状态文档仍然很高 (中位数为88%),非医学博士的临床工作人员是主要的记录者 (中位数为92%).
结论:
- 一个多循环教育干预有效增加和持续的学术类风湿病诊所的避孕文档.
- 未来的努力应该集中在加强避孕咨询和转诊的风险较高的患者在类风湿病的设置.
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