Triaging women with pregnancy of unknown location using two-step protocol including M6 model: clinical implementation study.
Shabnam BobdiwalaE ChristodoulouJessica FarrenN Mitchell-JonesChristopher KyriacouMaya Al-MemarF AyimB ChohanE KirkO AbughazzaB GuruwadahyarhalliS GuhaV VathananC BottomleyD GouldC StalderD TimmermanB van CalsterT BournePublished in: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (2021)
This study has shown that the two-step protocol incorporating the M6 model effectively triaged the majority of women with a PUL as being at low risk of an EP, minimizing the follow-up required for these patients after just two visits. There were few misclassified EPs and none of these women came to significant clinical harm or suffered a serious adverse clinical event. The two-step protocol incorporating the M6 model is an effective and clinically safe way of rationalizing the management of women with a PUL. Copyright © 2019 ISUOG. Published by John Wiley & Sons Ltd.
Keyphrases
- randomized controlled trial
- end stage renal disease
- primary care
- healthcare
- ejection fraction
- chronic kidney disease
- newly diagnosed
- pregnancy outcomes
- type diabetes
- peritoneal dialysis
- prognostic factors
- preterm birth
- patient reported outcomes
- polycystic ovary syndrome
- quality improvement
- adverse drug
- electronic health record