Optimisation of hyperemesis gravidarum management through an emergency department setting. Issue 3 (8th September 2018)

• Record Type: Journal Article
• Authors: Skalley, Graham; Denny, John; Allen, Eve; Rao, Shwetha
• Is Part Of: BMJ open quality. Volume 7:Issue 3(2018)
• Publication Date: 2018-09-08
• Subjects: emergency department -- women's health -- pdsa -- clinical practice guidelines -- quality measurement; Medical care -- Quality control -- Periodicals; 362.106805
• DOI: 10.1136/bmjoq-2018-000330
• Languages: English
• ISSNs: 2399-6641

Abstract

Abstract : Hyperemesis gravidarum is a common condition characterised by severe nausea and vomiting. The referral process from the emergency department (ED) to obstetrics and gynaecology (O&G) can lead to treatment delays before the gynaecology team review the patient, resulting in unnecessary prolonged inpatient stays in O&G. This quality improvement project created a clinical pathway which optimised care of patients presenting with hyperemesis gravidarum in the ED at the Princess Royal University Hospital using a treatment protocol. Two audits were carried out to assess improvements in patient care and reduction in admissions to O&G. Overall, admissions to O&G were reduced by 68.7% (cycle 1) and 70.5% (cycle 2) compared with admission rates before the proforma, saving the trust an estimated £265 700 and 235 bed days over a year.