Utilizing a Best Practice Alert to Increase Documentation of Contraception in Reproductive Aged Women Receiving Teratogenic Medications: An Outpatient Based Quality Improvement Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/308321
Category:
Abstract
Type:
Presentation
Title:
Utilizing a Best Practice Alert to Increase Documentation of Contraception in Reproductive Aged Women Receiving Teratogenic Medications: An Outpatient Based Quality Improvement Project
Author(s):
Sandhu, Amrit K
Lead Author STTI Affiliation:
N/A
Author Details:
Amrit K Sandhu, BS, MSN, FNP, amritksandhu@hotmail.com
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

>Background:

Considering half of all pregnancies in the United States are unintended, it is imperative to consider contraceptive management when prescribing potentially teratogenic medications to women of reproductive age (Moos et al., 2008).  Congenital abnormalities are among the leading causes of infant mortality in the United States (Dunlap, Gardiner, Shellhaas, Menard, & McDiarmid, 2008).  Ten percent of congenital abnormalities have been associated to a confirmed teratogenic exposure (Eisenburg, Stika, Desai, Baker, & Yost, 2009).  Maternal avoidance of teratogenic exposures would minimize congenital abnormalities (Dunlap et al., 2008). 

Aim:

To establish a Best Practice Alert (BPA) that utilizes the electronic medical record (EMR) to prompt providers to document contraception in reproductive aged women receiving a teratogenic medication.

Setting:

Adult Primary Care clinics in a large Northern California HMO located in the Central Valley.

Participants:

Women ages 18-49 years old that have received an initial prescription of Category X medication, Ace Inhibitor, or Angiotensin Receptor Blocker.

Methods:

Medical records of 300 women to be reviewed for contraceptive documentation or evidence of referral to Ob/Gyn that resulted in contraceptive documentation within 6 months of the Best Practice Alert being implemented into the EMR.

Expected Outcomes:

Will compare the result of chart review after the implementation of the BPA to the data compiled prior to implementation of the BPA. With the implementation of the BPA, the short-term expectation is that documentation of contraception will increase by 50%. Long-term outcomes would include that there is an overall decrease in the number of pregnancies exposed to teratogenic medications.

Keywords:
electronic alert; contraception
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleUtilizing a Best Practice Alert to Increase Documentation of Contraception in Reproductive Aged Women Receiving Teratogenic Medications: An Outpatient Based Quality Improvement Projecten_GB
dc.contributor.authorSandhu, Amrit Ken_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsAmrit K Sandhu, BS, MSN, FNP, amritksandhu@hotmail.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308321-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>>Background:</b><p class="APA">Considering half of all pregnancies in the United States are unintended, it is imperative to consider contraceptive management when prescribing potentially teratogenic medications to women of reproductive age (Moos et al., 2008).  Congenital abnormalities are among the leading causes of infant mortality in the United States (Dunlap, Gardiner, Shellhaas, Menard, & McDiarmid, 2008).  Ten percent of congenital abnormalities have been associated to a confirmed teratogenic exposure (Eisenburg, Stika, Desai, Baker, & Yost, 2009).  Maternal avoidance of teratogenic exposures would minimize congenital abnormalities (Dunlap et al., 2008).  <p class="APA"><b>Aim:</b><p class="APA">To establish a Best Practice Alert (BPA) that utilizes the electronic medical record (EMR) to prompt providers to document contraception in reproductive aged women receiving a teratogenic medication. <p class="APA"><b>Setting:</b><p class="APA">Adult Primary Care clinics in a large Northern California HMO located in the Central Valley. <p class="APA"><b>Participants:</b><p class="APA">Women ages 18-49 years old that have received an initial prescription of Category X medication, Ace Inhibitor, or Angiotensin Receptor Blocker. <p class="APA"><b>Methods:</b><p class="APA">Medical records of 300 women to be reviewed for contraceptive documentation or evidence of referral to Ob/Gyn that resulted in contraceptive documentation within 6 months of the Best Practice Alert being implemented into the EMR. <p class="APA"><b>Expected Outcomes:</b><p>Will compare the result of chart review after the implementation of the BPA to the data compiled prior to implementation of the BPA. With the implementation of the BPA, the short-term expectation is that documentation of contraception will increase by 50%. Long-term outcomes would include that there is an overall decrease in the number of pregnancies exposed to teratogenic medications.en_GB
dc.subjectelectronic alerten_GB
dc.subjectcontraceptionen_GB
dc.date.available2013-12-19T17:29:47Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:29:47Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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