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

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dc.contributor.advisorWada, Randal
dc.contributor.authorChing, Jinny
dc.contributor.departmentNursing
dc.date.accessioned2020-07-07T19:19:31Z
dc.date.available2020-07-07T19:19:31Z
dc.date.issued2020
dc.description.degreeD.N.P.
dc.identifier.urihttp://hdl.handle.net/10125/69039
dc.subjectHealth care management
dc.titleIncreasing Pre-Treatment Pregnancy Screening Rates in Female Patients with Pediatric Cancers
dc.typeThesis
dcterms.abstractAbstract 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.
dcterms.extent43 pages
dcterms.languageeng
dcterms.publisherUniversity of Hawai'i at Manoa
dcterms.rightsAll 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.
dcterms.typeText
local.identifier.alturihttp://dissertations.umi.com/hawii:10560

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