Journal article
Improving Emergency Access to Human Immunodeficiency Virus Prophylaxis for Patients Evaluated After Sexual Assault
Journal for healthcare quality, Vol.43(2), pp.82-91
03/01/2021
DOI: 10.1097/JHQ.0000000000000260
PMCID: PMC7501159
PMID: 32195742
Abstract
Introduction: Patients evaluated after sexual assault may benefit from nonoccupational postexposure prophylaxis (nPEP) to prevent infection with HIV, yet multiple barriers may prohibit nPEP delivery. The IN-STEP (Integrating nPEP after Sexual Trauma in Emergency Practice) project was designed to improve access to HIV screening and prevention for patients evaluated in the emergency department (ED) of our academic hospital after a sexual assault. Methods: The IN-STEP team identified and addressed four key areas for improvement: (1) training of ED providers to perform nPEP assessments; (2) access to HIV testing in the ED; (3) provision of nPEP medications, using a patient-centered approach; and (4) continuity of care between the ED and follow-up sites in the community. Improvements were implemented using parallel plan-do-study-act cycles corresponding to these four key areas. Results: IN-STEP resulted in significant systems improvements in HIV screening, prevention, and continuity of care. This program not only improved the care of patients affected by sexual assault but also those evaluated for HIV due to other indications. Conclusions: Involvement of a multidisciplinary leadership team, clear delineation of a patient-centered project focus, and coordination across four parallel areas for improvement were useful for completing this complex effort.
Details
- Title: Subtitle
- Improving Emergency Access to Human Immunodeficiency Virus Prophylaxis for Patients Evaluated After Sexual Assault
- Creators
- Tirajeh Saadatzadeh - Vet Affairs Hosp, Albuquerque, NM USANatalie M. Salas - University of New MexicoCarla Walraven - UNM Hosp, Albuquerque, NM USAPreeyaporn Sarangarm - UNM Hosp, Albuquerque, NM USACameron S. Crandall - University of New MexicoJoy Crook - University of New MexicoDusadee Sarangarm - University of New MexicoCharles Yaple - UNM Hosp, Point Care Testing, Albuquerque, NM USAAmanda Stafford - UNM, UNM Truman Hlth Serv Clin, Albuquerque, NM USAChristopher G. WilsonKimberly Page - University of New MexicoMartha L. Carvour - Univ Iowa, Dept Internal Med, Div Infect Dis, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Journal for healthcare quality, Vol.43(2), pp.82-91
- DOI
- 10.1097/JHQ.0000000000000260
- PMID
- 32195742
- PMCID
- PMC7501159
- NLM abbreviation
- J Healthc Qual
- ISSN
- 1062-2551
- eISSN
- 1945-1474
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- University of New Mexico (UNM) Committee of Interns and Residents UL1TR001449 / UNM Clinical and Translational Sciences Center (National Institutes of Health); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
- Language
- English
- Date published
- 03/01/2021
- Academic Unit
- Infectious Diseases; Epidemiology; Fraternal Order of Eagles Diabetes Research Center; Internal Medicine
- Record Identifier
- 9984359670702771
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