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Implementing a clinical checklist for pregnant patients with opioid use disorder.

Publication ,  Journal Article
Wendt, JO; Stevenson, EL; Gedzyk-Nieman, S; Koch, A
Published in: Journal of the American Association of Nurse Practitioners
January 2024

Opioid use disorder (OUD) has been increasing in pregnant patients over the past two decades. Best practice guidelines that are available for these patients, must now be implemented by health care teams. Clinical checklists have been used for other complex patient cohorts with good success and are a potentially viable tool for ensuring best practices with this patient population as well.Maine has seen a dramatic increase in the number of pregnant patients with OUD. Many of these patients seemed to "fall through the cracks" in the traditional prenatal care model. The obstetrical care team expressed feeling overwhelmed by the complex care needs of these patients and unsure of how to improve their care.To improve prenatal care delivery for patients with OUD, we implemented an evidence-based clinical checklist. This local, NP-led quality improvement project was done in partnership with a state-led initiative to improve perinatal care for patients with OUD.An evidence-based checklist provided by the state initiative was implemented for prenatal patients with diagnosed OUD.Use of a clinical checklist for patients with OUD increased the rate of several best practices during their prenatal care, including emergency naloxone prescription, tracking prescription monitoring reports, and contraceptive planning. Rates of completed prenatal screening for substance misuse, social determinants of health, and intimate partner violence also increased in our practice overall, as a result of this project.To further improve perinatal care coordination for patients with OUD, we recommend future evaluation of clinical checklists within various practice settings.

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Published In

Journal of the American Association of Nurse Practitioners

DOI

EISSN

2327-6924

ISSN

2327-6886

Publication Date

January 2024

Volume

36

Issue

1

Start / End Page

65 / 72

Related Subject Headings

  • Quality Improvement
  • Pregnancy
  • Opioid-Related Disorders
  • Opiate Substitution Treatment
  • Humans
  • Female
  • Delivery of Health Care
  • Checklist
  • 4205 Nursing
  • 1110 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
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Wendt, J. O., Stevenson, E. L., Gedzyk-Nieman, S., & Koch, A. (2024). Implementing a clinical checklist for pregnant patients with opioid use disorder. Journal of the American Association of Nurse Practitioners, 36(1), 65–72. https://doi.org/10.1097/jxx.0000000000000957
Wendt, Jamie Osgood, Eleanor L. Stevenson, Stephanie Gedzyk-Nieman, and Amie Koch. “Implementing a clinical checklist for pregnant patients with opioid use disorder.Journal of the American Association of Nurse Practitioners 36, no. 1 (January 2024): 65–72. https://doi.org/10.1097/jxx.0000000000000957.
Wendt JO, Stevenson EL, Gedzyk-Nieman S, Koch A. Implementing a clinical checklist for pregnant patients with opioid use disorder. Journal of the American Association of Nurse Practitioners. 2024 Jan;36(1):65–72.
Wendt, Jamie Osgood, et al. “Implementing a clinical checklist for pregnant patients with opioid use disorder.Journal of the American Association of Nurse Practitioners, vol. 36, no. 1, Jan. 2024, pp. 65–72. Epmc, doi:10.1097/jxx.0000000000000957.
Wendt JO, Stevenson EL, Gedzyk-Nieman S, Koch A. Implementing a clinical checklist for pregnant patients with opioid use disorder. Journal of the American Association of Nurse Practitioners. 2024 Jan;36(1):65–72.
Journal cover image

Published In

Journal of the American Association of Nurse Practitioners

DOI

EISSN

2327-6924

ISSN

2327-6886

Publication Date

January 2024

Volume

36

Issue

1

Start / End Page

65 / 72

Related Subject Headings

  • Quality Improvement
  • Pregnancy
  • Opioid-Related Disorders
  • Opiate Substitution Treatment
  • Humans
  • Female
  • Delivery of Health Care
  • Checklist
  • 4205 Nursing
  • 1110 Nursing