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IntroductionObjectivesMaterials & MethodsResultsTable 1. Demographic inform
Assumption College, US has reference to this Academic Journal, IntroductionObjectivesMaterials & MethodsResultsTable 1. Demographic informationConclusionsJones RK, Jerman J. Abortion incidence in addition to service availability in the United States, 2011. Perspect Sex Reprod Health. 2014;46(1):3-14. Epub 2014/02/06. doi: 10.1363/46e0414. PubMed PMID: 24494995.Achilles SL, Reeves MF, Society of Family P. Prevention of infection after induced abortion: release date October 2010: SFP guideline 20102. Contraception. 2011;83(4):295-309. doi: 10.1016/j.contraception.2010.11.006. PubMed PMID: 21397086.Bulletins Gynecology ACoP. ACOG Practice Bulletin No. 135: Second-trimester abortion. Obstet Gynecol. 2013;121(6):1394-406. doi: 10.1097/01.AOG.0000431056.79334.cc. PubMed PMID: 23812485.Low N, Mueller M, Van Vliet HA, Kapp N. Perioperative antibiotics so that prevent infection after first-trimester abortion. Cochrane Database Syst Rev. 2012;3:CD005217. doi: 10.1002/14651858.CD005217.pub2. PubMed PMID: 22419307.Sawaya GF, Grady D, Kerlikowske K, Grimes DA. Antibiotics at the time of induced abortion: the case in consideration of universal prophylaxis based on a meta-analysis. Obstet Gynecol. 1996;87(5 Pt 2):884-90. PubMed PMID: 8677129.Shorter JM, Creinin MD, Hou MY. Adherence alongside prescription antibiotic prophylaxis in consideration of abortions performed in the operating room. Contraception. 2014;90(3):310. doi: 10.1016/j.contraception.2014.05.062.ReferencesAcknowledgementsQuality Improvement: Changing Patterns of Antibiotic Prophylaxis in consideration of Surgical AbortionOlivia T. Nguyen, MS; Jade M. Shorter, MD, Alexa L. Calfee, MPH; Mitchell D. Creinin, MD; Melody Y. Hou, MD, MPHDepartment of Obstetrics in addition to Gynecology, University of California Davis Medical CenterINITIAL QUALITY EVALUATIONRetrospective EMR chart review of antibiotic utilization in addition to physician documentation in 2013 in consideration of women who had surgical abortions in the operating room at UCDMC from April 2012 so that June 2013 INTERVENTIONSFollowing the quality assurance assessment, we made the following changes:Created a standard EMR template in consideration of physicians so that use on the day of the procedure that included assessment of patient adherence so that prescribed antibioticsUrged patients so that obtain their prescriptions at the pharmacy located in the same building as our outpatient clinic. QUALITY IMPROVEMENT ASSESSMENTTo evaluate the outcomes of these interventions, we performed a second quality evaluation during an equal period of time (April 2014 so that June 2015). DATA COLLECTIONFor both quality evaluations, we used pre-operative clinic schedules so that identify women who had a surgical abortion during the respective time periods. Patients who refused antibiotics were excluded from this analysis. We did not exclude procedures in women who had a prior abortion during either of the time periods We confirmed abortion procedures in addition to collected data regarding antibiotic adherence in addition to administration from the EMR of the pre-operative clinic visit in addition to the hospital admission. We assumed a patient used antibiotics if described in a physician?s note or recorded in the medication administration record. PRMARY OUTCOMESDocumentation rates, patient adherence rates, in addition to overall rates of antibiotic utilizationI?d like so that express appreciation so that my faculty mentors Dr. Hou in addition to Dr. Creinin in consideration of their support in addition to guidance during this research projectI?d also like so that thank my fellow co-authors in consideration of all of their hard work in addition to contributionsLastly, I?d like so that acknowledge Dr. Wilson in consideration of her help alongside the statistical analysis of the data21% of all pregnancies (excluding miscarriages) in the United States end in abortion.1 Prevalence of infections after abortions ranges from 0.1 – 4.7%.2, 3 Use of prophylactic antibiotics reduces the risk of infection after surgical abortions, in addition to this practice is endorsed by both the American College of Obstetricians in addition to Gynecologists (ACOG) in addition to the Society of Family Planning.3-5At the University of California Davis Medical Center (UCDMC), patients having a surgical abortion in the operating room have a pre-operative visit one day before the scheduled procedure in addition to are routinely prescribed prophylactic antibiotics so that be used the night before the procedure. A quality assurance assessment of procedures performed from April 2012 so that June 2013 showed poor medical documentation of antibiotic provision in addition to less than optimal patient adherence so that prescribed antibiotics.6As a result, we implemented a quality improvement intervention in 2013 so that correct these issues. To evaluate if our intervention resulted in improved electronic medical record (EMR) documentation, patient adherence rates so that prescribed prophylactic antibiotics, in addition to overall utilization of antibiotics prior so that a surgical abortion.Figure 1. Documentation rates of antibiotic patient adherence (p
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