Adherence to guideline-based quality indicators in early pregnancy care in hospitals with and without an early pregnancy assessment unit

M. M. J. van den Berg; E. van den Boogaard; R. P. M. G. Hermens; F. van der Veen; M. Goddijn; P. J. Hajenius

doi:10.1016/j.rbmo.2022.04.012

Adherence to guideline-based quality indicators in early pregnancy care in hospitals with and without an early pregnancy assessment unit

M. M. J. van den Berg^*
, E. van den Boogaard
, R. P. M. G. Hermens
, F. van der Veen
, M. Goddijn
, P. J. Hajenius

^*Corresponding author for this work

University of Amsterdam
Radboud University Medical Center
Radboud University Nijmegen

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Research question: How do hospitals with and without an early pregnancy assessment unit (EPAU) adhere to guideline-based quality indicators for an EPAU relating to logistics, access to services and quality of early pregnancy care? Design: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100% adherence to the 19 quality indicators. Results: Non-adherence was seen in three indicators (3/19 [16%]) for hospitals with an EPAU and in five indicators (5/19 [26%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU. Conclusions: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.

Original language	English
Pages (from-to)	583-588
Number of pages	6
Journal	Reproductive biomedicine online
Volume	45
Issue number	3
Early online date	2022
DOIs	https://doi.org/10.1016/j.rbmo.2022.04.012
Publication status	Published - Sept 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Early pregnancy loss
Guideline adherence
Quality indicators
Quality of care

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Cite this

@article{67c83e85bb9b499eb34e8abe25376af8,

title = "Adherence to guideline-based quality indicators in early pregnancy care in hospitals with and without an early pregnancy assessment unit",

abstract = "Research question: How do hospitals with and without an early pregnancy assessment unit (EPAU) adhere to guideline-based quality indicators for an EPAU relating to logistics, access to services and quality of early pregnancy care? Design: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100\% adherence to the 19 quality indicators. Results: Non-adherence was seen in three indicators (3/19 [16\%]) for hospitals with an EPAU and in five indicators (5/19 [26\%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU. Conclusions: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.",

keywords = "Early pregnancy loss, Guideline adherence, Quality indicators, Quality of care",

author = "\{van den Berg\}, \{M. M. J.\} and \{van den Boogaard\}, E. and Hermens, \{R. P. M. G.\} and \{van der Veen\}, F. and M. Goddijn and Hajenius, \{P. J.\}",

note = "Funding Information: We thank professionals from all participating centres for their contribution to this study: RC Dullemond, MD, Jeroen Bosch Hospital, {\textquoteleft}s Hertogenbosch; J Gianotten, MD, PhD, Spaarne Gasthuis location Haarlem; EM Kaaijk, MD, PhD, Onze Lieve Vrouwe Gasthuis, location East Amsterdam; YM van Kasteren, MD, PhD, Medical Centre Alkmaar, Alkmaar; E Hink, MD, Radboud University Nijmegen Medical Centre; N van Mello, MD, PhD, Amsterdam University Medical Centres, location VUmc; A Mulders, MD, PhD, the Erasmus Medical Centre, Rotterdam; and PJ Hajenius, MD, PhD, Amsterdam University Medical Centres, Location AMC. Publisher Copyright: {\textcopyright} 2022 The Author(s)",

year = "2022",

month = sep,

doi = "10.1016/j.rbmo.2022.04.012",

language = "English",

volume = "45",

pages = "583--588",

journal = "Reproductive biomedicine online",

issn = "1472-6483",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - Adherence to guideline-based quality indicators in early pregnancy care in hospitals with and without an early pregnancy assessment unit

AU - van den Berg, M. M. J.

AU - van den Boogaard, E.

AU - Hermens, R. P. M. G.

AU - van der Veen, F.

AU - Goddijn, M.

AU - Hajenius, P. J.

N1 - Funding Information: We thank professionals from all participating centres for their contribution to this study: RC Dullemond, MD, Jeroen Bosch Hospital, ‘s Hertogenbosch; J Gianotten, MD, PhD, Spaarne Gasthuis location Haarlem; EM Kaaijk, MD, PhD, Onze Lieve Vrouwe Gasthuis, location East Amsterdam; YM van Kasteren, MD, PhD, Medical Centre Alkmaar, Alkmaar; E Hink, MD, Radboud University Nijmegen Medical Centre; N van Mello, MD, PhD, Amsterdam University Medical Centres, location VUmc; A Mulders, MD, PhD, the Erasmus Medical Centre, Rotterdam; and PJ Hajenius, MD, PhD, Amsterdam University Medical Centres, Location AMC. Publisher Copyright: © 2022 The Author(s)

PY - 2022/9

Y1 - 2022/9

N2 - Research question: How do hospitals with and without an early pregnancy assessment unit (EPAU) adhere to guideline-based quality indicators for an EPAU relating to logistics, access to services and quality of early pregnancy care? Design: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100% adherence to the 19 quality indicators. Results: Non-adherence was seen in three indicators (3/19 [16%]) for hospitals with an EPAU and in five indicators (5/19 [26%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU. Conclusions: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.

AB - Research question: How do hospitals with and without an early pregnancy assessment unit (EPAU) adhere to guideline-based quality indicators for an EPAU relating to logistics, access to services and quality of early pregnancy care? Design: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100% adherence to the 19 quality indicators. Results: Non-adherence was seen in three indicators (3/19 [16%]) for hospitals with an EPAU and in five indicators (5/19 [26%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU. Conclusions: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.

KW - Early pregnancy loss

KW - Guideline adherence

KW - Quality indicators

KW - Quality of care

UR - https://www.scopus.com/pages/publications/85131804979

U2 - 10.1016/j.rbmo.2022.04.012

DO - 10.1016/j.rbmo.2022.04.012

M3 - Article

C2 - 35688756

SN - 1472-6483

VL - 45

SP - 583

EP - 588

JO - Reproductive biomedicine online

JF - Reproductive biomedicine online

IS - 3

ER -

Adherence to guideline-based quality indicators in early pregnancy care in hospitals with and without an early pregnancy assessment unit

Abstract

UN SDGs

Keywords

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