Increasing effective postpartum care in an obstetric clinic using ACOG's postpartum toolkit

Kimberly Jones‐Beatty; Diana Jolles; Irina BurdOrlene Thomas

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Increasing effective postpartum care in an obstetric clinic using ACOG's postpartum toolkit

机译：Increasing effective postpartum care in an obstetric clinic using ACOG's postpartum toolkit

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Abstract 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 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 A quality improvement project was conducted through four Plan‐Do‐Study‐Act?cycles over 8?weeks. Interventions 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 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 The PRATs, population health registry, and note template collectively increased the quality and effectiveness of postpartum care.

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《Nursing forum》 |2022年第6期|1614-1620|共7页
作者
Kimberly Jones‐Beatty; Diana Jolles; Irina BurdOrlene Thomas;
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作者单位

Integrated Research Center for Fetal Medicine, OB/GYN Department,Johns Hopkins University;

Frontier Nursing University;

Integrated Research Center for Fetal Medicine, OB/GYN Department, MFM Division,Johns HopkinsOB/GYN Department,Johns Hopkins University;

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原文格式 PDF
正文语种英语
中图分类护理学;
关键词
effective; postpartum care; quality improvement; right care;

Increasing effective postpartum care in an obstetric clinic using ACOG's postpartum toolkit

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