| OCR Text |
Show Streamlining Obstetric Emergency Admissions: A Quality Improvement Initiative for Pregnancy-Induced Hypertension Protocol Implementation Cassidy Bogard, BSN, RN; Sara Hake, DNP, CNM; Diane Chapman, DNP, APRN, FNP-C Key Take Away . The use of a standardized PIH admission protocol provides an efficient approach and improves staff satisfaction. Background • Pregnancy-induced hypertension (PIH) contributes to maternal & fetal morbidity & mortality • PIH prevalence in the U.S increased 2.79% to 8.22% in 2020 • Early identification and intervention reduce complications • Healthcare workers report feeling unprepared Results • Feasibility: 90% support using the admission protocol • Usability: Intake forms used 36% of the time for PIH patients (55/152); 53% (8/15) of staff would use the protocol in the future. • Satisfaction: 67% (10/15) satisfaction with the protocol on the post-intervention survey. • Clinical impact: Hypertensive-specific questions were completed 100% (55). OBES Post- implementation Satisfication Survey Results 9 8 7 6 Purpose • Determine usability, feasibility, and satisfaction with a PIH admission protocol for an obstetricsbased emergency department within an academic health center in Salt Lake Valley. 5 Conclusions 4 3 2 1 0 How satisfied were you with the intake process change? Are you satisfied with the communication among I am satisfied with my knowledge of hypertension peers during the project period? in pregnancy triaging? Key Methods • Assessed the unit’s current clinical practices and knowledge with pre-intervention surveys. • Developed in-services and admission protocol. • Implemented admission intake form use and flowsheets. • Evaluated: PDSA cycle for 8 weeks, intake forms usage, post-implementation surveys. Very dissatisfied Dissatisfied Neutral Satisfied Very Satisfied How satisfied are you with the protocol's objectives? • Pre-intervention survey indicates the need for education and training • Most staff were satisfied with the protocol and expressed interest in continued use • Limitations: patient acuity/influx, need for more MA participation, and staff turnover • Opportunities: expand standardized protocols, EMR integration and ongoing staff trainings References @uofunursing @utnurseresearch |
