{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T21:40:07Z","timestamp":1756676407606,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Qual"],"accepted":{"date-parts":[[2017,9,21]]},"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Eighty per cent of contraceptive care occurs in the general practice setting. UK Medical Eligibility Criteria provides clear guidelines for the safe provision of appropriate contraception. The Faculty of Sexual and Reproductive Health and the National Institute for Health and Care Excellence offer further recommendations for initiation and continuation of the combined contraceptive pill\/oral contraceptives.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method and analysis<\/jats:title>\n                  <jats:p>Using the Egton Medical Information Systems database of an inner city, average size general practice we performed a retrospective analysis of combined contraceptive pill\/oral contraceptives consultations to identify areas of substandard prescribing. Through three subsequent improvement cycles we demonstrated that the safety of combined contraceptive pill\/oral contraceptives prescribing could be enhanced by consistent application of UK Medical Eligibility Criteria. By encouraging general practitioners to promote safe sex and use local long-acting reversible contraception options we were able to enhance the quality of consultations as dictated by national guidelines. Regular education and use of an amended EMIS template (to include UK Medical Eligibility Criteria) enabled us to improve both the safety and quality of community-combined contraceptive pill\/oral contraceptives prescribing in a sustainable fashion.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjoq-2017-000137","type":"journal-article","created":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T20:10:28Z","timestamp":1507666228000},"page":"e000137","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Improving combined contraceptive pill\/oral contraceptives prescribing in general practice"],"prefix":"10.1136","volume":"6","author":[{"given":"Sophie","family":"Russell","sequence":"first","affiliation":[{"name":"University Hospitals Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Wiles","sequence":"additional","affiliation":[{"name":"University Hospitals Bristol NHS Foundation Trust, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,9]]},"reference":[{"key":"2025083114123462000_6.2.e000137.1","unstructured":"All Party Parliamentary Pro-Choice and Sexual Health Group. A report into the delivery of sexual health services in general practice, 2017. http:\/\/www.fpa.org.uk\/sites\/default\/files\/all-partyparliamentary pro"},{"key":"2025083114123462000_6.2.e000137.2","unstructured":"The Facualty of sexual and reptroductive healthcare. UK Medical Eligibility Criteria, 2016. http:\/\/www.fsrh.org\/standards-and-guidance\/documents\/ukmec-2016\/ (accessed 12 Feb 2016)."},{"key":"2025083114123462000_6.2.e000137.3","unstructured":"The Facualty of Sexual and Reptroductive Healthcare. CEU Combined Hormonal Contraception Guidance, 2006. http:\/\/www.fsrh.org\/pdfs\/CEUGuidanceCombinedHormonalContraception.pdf (accessed 12 Feb 2016)."},{"key":"2025083114123462000_6.2.e000137.4","unstructured":"Contraception- combined hormonal methods, 2014. http:\/\/cks.nice.org.uk\/contraception-combined-hormonal-methods#!scenario (accessed 12 Feb 2016)."},{"key":"2025083114123462000_6.2.e000137.5","unstructured":"Care Quality Commission. The Merrywood Practice Quality Report, 2016. http:\/\/www.cqc.org.uk\/sites\/default\/files\/new_reports\/AAAF47 67.pdf (accessed 7 Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.6","unstructured":"\u00a0BBC News. Contraceptive pill caused fatal blood clot, inquest hears, 2016. http:\/\/www.bbc.com\/news\/uk-england-stoke- staffordshire-35354759 (accessed 7 Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.7","unstructured":"Sanghani R . Can you really die from taking the contraceptive pill? the telegraph, 2016. http:\/\/www.telegraph.co.uk\/women\/health\/birth-control-can- you-really-die-from-taking-the-contraceptive-p\/ (accessed 7 Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.8","unstructured":"Donnelly L . GPs lack time and basic knowledge to prescribe \u2019anxious' women birth control: The Telegraph, 2017. http:\/\/www.telegraph.co.uk\/women\/womens-health\/11671906\/Birth-control-GPs-lack-time-and-knowledge-to-prescribe- (accessed 7 Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.9","unstructured":"Public Health England. NCSP Programme Overview, 2003. https:\/\/www.gov.uk\/government\/publications\/ncsp- programme-overview\/ncsp-programme-overview (accessed 7\u00a0Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.10","unstructured":"British HIV Association, British Association of Sexual Health and HIV British Infection Society. UK National Guidelines for HIV Testing 2008, 2017. http:\/\/www.bhiva.org\/documents\/guidelines\/testing\/glineshivte (accessed 7\u00a0Jan 2017)."},{"key":"2025083114123462000_6.2.e000137.11","unstructured":"University Hospitals Bristol Nhs Foundation Trust. How to: apply ethics to clinical audit, 2009. http:\/\/www.uhbristol.nhs.uk\/files\/nhs- ubht\/10%20How%20To%20Ethics%20v3.pdf (accessed 7\u00a0Jan 2017)."}],"container-title":["BMJ Open Quality"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjoq-2017-000137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T21:12:43Z","timestamp":1756674763000},"score":1,"resource":{"primary":{"URL":"https:\/\/qir.bmj.com\/lookup\/doi\/10.1136\/bmjoq-2017-000137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2017,10,9]]},"published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1136\/bmjoq-2017-000137"],"URL":"https:\/\/doi.org\/10.1136\/bmjoq-2017-000137","relation":{},"ISSN":["2399-6641"],"issn-type":[{"type":"electronic","value":"2399-6641"}],"subject":[],"published":{"date-parts":[[2017,10]]}}}