A system-based intervention to improve postpartum diabetes screening among women with gestational diabetes
Abstract
Objective We sought to determine whether our process improvement program led to increased postpartum diabetes screening rates among women with gestational diabetes mellitus (GDM).Study design In early 2009, we conducted obstetrics department staff education sessions, revised GDM patient care protocols, and developed an electronic system to trigger reminder calls to patients who had not completed diabetes mellitus screening by 3 months postpartum. We then evaluated the rates of postpartum glucose test order entry and completion for women with GDM delivering from July 2009 through June 2010 (n = 179) and July 2007 through June 2008 (n = 200).Results After the program's implementation, the proportion of women receiving an order for a postpartum glucose test within 3 months of delivery increased from 77.5-88.8% (P = .004), and test completion increased from 59.5-71.5% (hazard ratio, 1.37; 95% confidence interval, 1.07-1.75).Conclusion Rates of postpartum diabetes testing can be improved with system changes and reminders.
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Remote monitoring and telemedicine-based approaches greatly improve care access for women with newborns.
“studies show that remote monitoring and telemedicine-based approaches greatly improve care access for women with newborns [116-118].”
From Wearables and the Medical Revolution (2018) · cites this paper as [117]
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- Authors
- Vesco, K. K., Dietz, P. M., Bulkley, J., Bruce, F. C., Callaghan, W. M., England, L., Kimes, T., Bachman, D. J., Hartinger, K. J., & Hornbrook, M. C.
- Affiliations
- Kaiser Permanente (US)
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Vesco, Kimberly K.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 207
- Issue
- 4
- Pages
- 283.e1-283.e6
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2034526195
- Cited by
- 73
- References
- 4
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 8 · 2023: 5 · 2022: 6 · 2021: 8 · 2020: 6 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 8 · 2014: 10 · 2013: 3
- FWCI
- 8.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Keywords
- gestational diabetes mellitus, postpartum diabetes screening, process improvement, patient care protocols, employee training, quality improvement, screening rates
- MeSH terms
- Adult, Diabetes Mellitus, Type 2, Female, Glucose Tolerance Test, Humans, Pregnancy, Diabetes, Gestational, Postpartum Period
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