Project Information

Improving Documentation of Adverse Pregnancy Outcomes and Associated Cardiovascular Risk in Women

Project Description: Cardiovascular disease remains a significant source of morbidity and mortality in women. In addition to the traditional cardiovascular risk factors recognized in the general population, women can have additional sex-specific risk factors such as adverse pregnancy outcomes (APO). These conditions include pre-eclampsia, gestational diabetes, premature birth, etc. However, many women who have such obstetrics/gynecologic (OBGYN) history do not have these conditions documented in their standard medical record; ie in a primary care setting. This represents a missed opportunity to identify women with a history of APO who could then be more routinely followed and screened for modifiable risk factors such as obesity, hypertension and diabetes amongst other. The electronic medical record currently used at UF/Shands, EPIC, includes a section on obstetrics/gynecologic history. However, currently this section is mostly utilized by obstetric/gynecology specialties. Our project aims to expand the use of this subsection of EPIC through education of nursing staff/providers in a variety of outpatient settings including internal medicine, family medicine and cardiology. Nursing staff and providers in these various clinics will be given a mini-lecture on the importance of screening for these APO and educated on how to obtain an appropriate OBGYN history. We will aim to perform this assessment on every woman of child bearing age on a yearly basis and a one time assessment for women who are post-menopausal.

QPI: Ki, Park, (

Collaborators: (; Anthony, Gregg, (; Maryam, Sattari, (; Carl, Pepine, (

Advisors: Carl, Pepine, (

UF Health Big Aims: Transform our Culture None

MeSH Keywords: pregnancy, cardiovascular, pre-eclampsia, gestational diabetes, prematurity