Increasing effective postpartum care in an obstetric clinic using ACOG's postpartum toolkit.
effective
postpartum care
quality improvement
right care
Journal
Nursing forum
ISSN: 1744-6198
Titre abrégé: Nurs Forum
Pays: United States
ID NLM: 0401006
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
revised:
25
09
2022
received:
24
06
2022
accepted:
26
10
2022
pubmed:
11
11
2022
medline:
21
12
2022
entrez:
10
11
2022
Statut:
ppublish
Résumé
Approximately 69% of maternal mortality occurs in the postpartum period. Contributing factors include the absence of preparation of pregnant women for the postpartum period during the antenatal period, postpartum follow-up care not being scheduled until 6 weeks after childbirth, and the lack of further care coordination. The aim of this project was to increase the frequency of effective postpartum care visits to 80% in 8 weeks at an urban obstetric clinic. A quality improvement project was conducted through four Plan-Do-Study-Act cycles over 8 weeks. Postpartum Readiness & Awareness Tools (PRATs) were reviewed with patients during their late third trimester, to review postpartum warning signs that warrant further evaluation. A population health registry was created to manage early follow-up for newly postpartum patients, to ensure their recovery was progressing normally. A note template was created and implemented to guide the completion of comprehensive postpartum visits. Over 8 weeks, 188 patients received 1 of the 3 standardized interventions. Effective postpartum visits increased to 88%. The PRATs increased patient postpartum warning sign knowledge, with a project mean risk factor knowledge score of 6 (Goal = 5). The population health registry drove right care by ensuring early postpartum patients were recovering as expected, as seen by a project mean right-care score of 16 (Goal = 12). The note template increased the effectiveness of postpartum visits, with a mean effective postpartum care score of 10 (Goal = 10). The PRATs, population health registry, and note template collectively increased the quality and effectiveness of postpartum care.
Sections du résumé
BACKGROUND
BACKGROUND
Approximately 69% of maternal mortality occurs in the postpartum period. Contributing factors include the absence of preparation of pregnant women for the postpartum period during the antenatal period, postpartum follow-up care not being scheduled until 6 weeks after childbirth, and the lack of further care coordination.
AIM
OBJECTIVE
The aim of this project was to increase the frequency of effective postpartum care visits to 80% in 8 weeks at an urban obstetric clinic.
METHODS
METHODS
A quality improvement project was conducted through four Plan-Do-Study-Act cycles over 8 weeks.
INTERVENTIONS
METHODS
Postpartum Readiness & Awareness Tools (PRATs) were reviewed with patients during their late third trimester, to review postpartum warning signs that warrant further evaluation. A population health registry was created to manage early follow-up for newly postpartum patients, to ensure their recovery was progressing normally. A note template was created and implemented to guide the completion of comprehensive postpartum visits.
RESULTS
RESULTS
Over 8 weeks, 188 patients received 1 of the 3 standardized interventions. Effective postpartum visits increased to 88%. The PRATs increased patient postpartum warning sign knowledge, with a project mean risk factor knowledge score of 6 (Goal = 5). The population health registry drove right care by ensuring early postpartum patients were recovering as expected, as seen by a project mean right-care score of 16 (Goal = 12). The note template increased the effectiveness of postpartum visits, with a mean effective postpartum care score of 10 (Goal = 10).
CONCLUSIONS
CONCLUSIONS
The PRATs, population health registry, and note template collectively increased the quality and effectiveness of postpartum care.
Types de publication
Journal Article
Langues
eng
Pagination
1614-1620Informations de copyright
© 2022 Wiley Periodicals LLC.
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