Please use this identifier to cite or link to this item: http://hdl.handle.net/10125/69039

Increasing Pre-Treatment Pregnancy Screening Rates in Female Patients with Pediatric Cancers

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Title:Increasing Pre-Treatment Pregnancy Screening Rates in Female Patients with Pediatric Cancers
Authors:Ching, Jinny
Contributors:Wada, Randal (advisor)
Nursing (department)
Keywords:Health care management
Date Issued:2020
Publisher:University of Hawai'i at Manoa
Abstract:Abstract
Objectives: The purpose of this evidence-based quality improvement project was to increase pre-treatment pregnancy screening rates by at least 50% from baseline in female patients aged 12 years or older, or who have undergone menarche, who receive teratogenic cancer treatments at Kapiolani Medical Center for Women & Children.
Methods: Staff education, progress updates, and placement of visible reminders within clinics were chosen as cost-effective measures to implement within the study period. Due to program limitations, patient education and templates to document patient education and reminders in the EHR were not pursued.
Results: Pre-treatment pregnancy screening rates increased from 40% to 81% (n=16, p=0.00047) on Wilcox Unit (Wilcox) and from 25% to 50% (n=14, p=0.048) for Pediatric Ambulatory Unit (PAU). Staff education increased from 23% (n=23) to 73% (n=11, p=0.0079) for division, 40% (n=6) to 68% (n=7, p=0.13) for Wilcox, and 25% (n=4) to 58% (n=5, p=0.16) for PAU.
Conclusion: Staff education, progress updates, and placement of visible reminders within clinics were effective at increasing pre-treatment pregnancy screening rates at Kapiolani Medical Center for Women & Children’s Wilcox and PAU.
Pages/Duration:43 pages
URI:http://hdl.handle.net/10125/69039
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice


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