000009084 001__ 9084 000009084 005__ 20240506143227.0 000009084 0247_ $$2DOI$$a10.6083/73666518d 000009084 037__ $$aETD 000009084 245__ $$aA quality improvement initiative to increase counseling and referral for contraception among adolescents on teratogenic medications 000009084 260__ $$bOregon Health and Science University 000009084 269__ $$a2021 000009084 336__ $$aFinal project 000009084 502__ $$bD.N.P. 000009084 520__ $$aIn the pediatric kidney transplant population, many patients are prescribed at least one teratogenic medication. Despite the potential dangers of unintended pregnancy with concomitant use of these medications, clinicians do not often assess or address these risks. The aim of this project was to 1) Conduct a chart review within a kidney transplant clinic to examine baseline practices on counseling around teratogen risks and referral to a specialist for contraception 2) Implement a standardized ?smart-phrase? template within the electronic medical record to prompt a discussion about teratogenic risk, remind the provider to consider a referral to a subspecialist for contraception counseling/provision, and help standardize documentation in all female pediatric patients 3) Conduct a post-intervention chart review to assess the outcomes of the quality improvement initiative. 000009084 542__ $$fIn copyright - single owner 000009084 650__ $$aContraception$$017054 000009084 650__ $$aKidney Transplantation$$028834 000009084 691__ $$aSchool of Nursing$$041370 000009084 7001_ $$aHan, Chloe I.$$uOregon Health and Science University$$041354 000009084 8564_ $$92ab83835-3a54-43a7-b227-7a5689a9fb09$$s384719$$uhttps://digitalcollections.ohsu.edu/record/9084/files/Han.Chloe.2021.pdf 000009084 905__ $$a/rest/prod/73/66/65/18/73666518d 000009084 909CO $$ooai:digitalcollections.ohsu.edu:9084$$pstudent-work 000009084 980__ $$aTheses and Dissertations