TY - JOUR T1 - STI initiative: Improving testing for sexually transmitted infections in women JF - BMJ Open Quality JO - BMJ Open Qual DO - 10.1136/bmjoq-2018-000461 VL - 7 IS - 4 SP - e000461 AU - Ryan Christopher Chadwick AU - Kathleen McGregor AU - Paula Sneath AU - Joshua Rempel AU - Betty Li Qun He AU - Allison Brown AU - Grant Seifred AU - John McAuley AU - Ralph John Kamatovic AU - Muhanad Al-Husari AU - Salim Ahmed AU - Monica Bertolo AU - Doug Munkley AU - Maynard Luterman Y1 - 2018/10/01 UR - http://bmjopenquality.bmj.com/content/7/4/e000461.abstract N2 - Canadian urgent care and walk-in medical clinics provide health care for a population that may be poorly covered by traditional health care structures. Despite evidence suggesting that women with urinary complaints experience a high incidence of sexually transmitted infections (STIs), this population may be under-tested in this particular setting. The aim of this quality improvement initiative was to increase STI testing in women presenting with GU complaints. Implementation of an opt-out method of STI testing for women ages 16 and older was introduced at three walk-in clinics. Women presenting with GU complaints were given the opportunity to provide samples for both conventional urine culture and nucleic acid amplification testing (NAAT) for non-viral STIs. Patients received treatment according to standard of care and public health was notified as per local regulations. Testing rate and STI incidence was tracked via clinic electronic medical records (EMRs). Overall results were tracked using run charts and compared to historical data for the year prior to the start of the project. Over a 1 year period prior to this intervention, only 65 STI tests were performed in over 1100 GU complaints (5.5%). Six STIs were identified during this time. During the 36-week project period, testing increased to 45% of the patient population (320/707). The STI detected incidence increased from 0.51% to 1.4% in all women, and from 0.84% to 3.4% in women aged 16–29 years. An opt-out method was an effective intervention for increasing STI testing within the walk-in clinic setting. With optimisation, significant increases in testing rates can be obtained without substantially increasing clinic workload and at no economic cost to the clinic. As expected, detected incidence rates of STIs were higher than the recognised population prevalence. ER -