Publications by authors named "R Hamm"
Background: Studies have demonstrated that standardizing labor induction (IOL), often with the use of protocols, may reduce racial inequities in obstetrics. IOL protocols are complex, multi-component interventions. To target identified implementation barriers, audit and feedback (A&F) was selected as an implementation strategy.
View Article and Find Full Text PDFBackground: Cesarean delivery remains the most common obstetrical procedure with more than 250,000 patients in the US undergoing cesarean following labor induction annually. Here, we evaluated the impact of prospectively implementing a standardized labor induction protocol on cesarean delivery rates.
Methods: This multi-site type I hybrid effectiveness-implementation study compared 2 years before (PRE) and 2 years after (POST) implementation of a standardized labor induction protocol at two hospitals within the University of Pennsylvania Health System (2018-2022).
Objective: Significant racial and ethnic disparities in maternal morbidity and mortality as well as gynecologic outcomes persist in the U.S. The role of ambulatory care in OBGYN, particularly in facilities that separate resident and attending care along payor (and de facto racial) lines, remains unclear.
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- A mobile texting platform designed for interstitial cystitis/bladder pain syndrome (IC/BPS) patients was created to help with self-management over six weeks, featuring various treatment modules and automated messages.
- Patient engagement was high at 76.9%, with pelvic floor physical therapy being the most popular module, and the overall usability of the platform received a high score.
- Improvements were noted in patient-physician communication satisfaction, pain self-efficacy, and urinary symptoms, suggesting the platform could enhance self-management and support clinicians in managing IC/BPS patients effectively.
Objective: Implementation of standardized protocols for antepartum anemia increases intravenous iron (IVFe) use and improves predelivery hemoglobin (Hb). However, this condition is often overlooked and inadequately treated in postpartum care settings. We aimed to determine if implementation of a standardized protocol for postpartum anemia increases postpartum IVFe use and affects clinical outcomes.
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