{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:25:34Z","timestamp":1701735934183},"reference-count":17,"publisher":"Springer Publishing Company","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold>Chlamydia is the most common bacterial sexually transmitted infection (STI) in the United States, with an incidence of 1.7 million infections annually. It results in an estimated $691 million in lifetime medical costs.<jats:bold>Objective:<\/jats:bold>The objective of the project was to improve effective care for women at risk of chlamydia infection in a rural family planning clinic to 80% in 90 days.<jats:bold>Methods:<\/jats:bold>The Plan-Do-Study-Act process of quality improvement (QI) was implemented over four 2-week cycles. Qualitative and quantitative data were collected and analyzed iteratively and informed tests of change for each cycle.<jats:bold>Results:<\/jats:bold>Results indicated an improvement in effective care from a baseline of 42%\u201381%. Patient visit time decreased from 38 minutes at baseline to 23 minutes. Compared with pre-implementation, the number of positive chlamydia test results went from three to six, doubling the positivity rate, while the number of chlamydia tests billed increased by 32%.<jats:bold>Conclusions:<\/jats:bold>This project was successful in improving effective care. Implementing a standardized risk assessment decreased patient visit time.<jats:bold>Implications for nursing:<\/jats:bold>QI projects directed at meeting national standards for STI screening can be implemented in rural health clinics at low cost and with high impact.<\/jats:p>","DOI":"10.1891\/jdnp-2023-0010","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T21:35:17Z","timestamp":1701725717000},"page":"205-212","source":"Crossref","is-referenced-by-count":0,"title":["Improving Effective Chlamydia Screening for Women at Risk at a Rural Family Planning Clinic"],"prefix":"10.1891","volume":"16","author":[{"given":"Vanessa","family":"Shields-Haas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Bray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"793","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"issue":"8","key":"2023120413350865000_16.3.205.1","first-page":"510","article-title":"A clinic-based quality improvement initiative to increase screening for gonorrhea and chlamydia in adolescents","volume":"47","year":"2021","journal-title":"Joint Commission Journal on Quality and Patient Safety"},{"issue":"5","key":"2023120413350865000_16.3.205.2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.rr6805a1","article-title":"Recommendations for providing quality sexually transmitted diseases clinical services, 2020","volume":"68","year":"2020","journal-title":"MMWR. 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The National Academies Press. https:\/\/doi.org\/10.17226\/10027","DOI":"10.17226\/10027"},{"issue":"4","key":"2023120413350865000_16.3.205.7","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/OLQ.0000000000001355","article-title":"Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2018","volume":"48","year":"2021","journal-title":"Sexually Transmitted Diseases"},{"key":"2023120413350865000_16.3.205.8","unstructured":"National Chlamydia Coalition. (2016). Why screen for chlamydia toolkit. http:\/\/chlamydiacoalition.org\/pdfs\/Why_Screen.pdf"},{"key":"2023120413350865000_16.3.205.9","unstructured":"National Committee for Quality Assurance. (2021). Chlamydia screening in women (CHL). https:\/\/www.ncqa.org\/hedis\/%20measures\/chlamydia-screening-in-women"},{"key":"2023120413350865000_16.3.205.10","unstructured":"Office of Population Affairs. (n.d.). About title X service grants. https:\/\/opa.hhs.gov\/grant-programs\/title-x-service-grants\/about-title-x-service-grants"},{"key":"2023120413350865000_16.3.205.11","doi-asserted-by":"crossref","unstructured":"Robinson, J. , Porter, M. , Montalvo, Y. , & Peden, C. J . (2020). Losing the wait: Improving patient cycle time in primary care. BMJ Open Quality , 9(2), e000910. https:\/\/doi.org\/10.1136\/bmjoq-2019-000910","DOI":"10.1136\/bmjoq-2019-000910"},{"issue":"5","key":"2023120413350865000_16.3.205.12","doi-asserted-by":"crossref","first-page":"710","DOI":"10.7326\/M21-4352","article-title":"A reporting tool for adapted guidelines in health care: The RIGHT-Ad@Pt checklist","volume":"175","author":"RIGHT-Ad@pt Working Group*","year":"2022","journal-title":"Annals of Internal Medicine"},{"key":"2023120413350865000_16.3.205.13","unstructured":"U.S. Department of Health and Human Services. (2020). Sexually transmitted infections national strategic plan for the United States: 2021\u20132025. https:\/\/www.hhs.gov\/sites\/default\/files\/STI-National-Strategic-Plan-2021-2025.pdf"},{"key":"2023120413350865000_16.3.205.14","unstructured":"U.S. Preventive Services Task Force. (2021). Recommendations for chlamydia and gonorrhea screening. https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/chlamydia-and-gonorrhea-screening"},{"issue":"4","key":"2023120413350865000_16.3.205.15","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1097\/OLQ.0000000000001368","article-title":"STI prevalence, incidence, and costs in the United States: New estimates, new approach","volume":"48","year":"2021","journal-title":"Sexually Transmitted Diseases"},{"key":"2023120413350865000_16.3.205.16","doi-asserted-by":"publisher","DOI":"10.1186\/cc7792"},{"key":"2023120413350865000_16.3.205.17","unstructured":"Workowski, K. , Bachmann, L. H. , Chan, P. , Johnston, C. , Muzny, C. , Park, I. , Reno, H. , Zenilman, J. , & Bolan, G . (2021). 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