Table 1

Plan-do-study-act (PDSA) interventions and results.

Time implementedDescriptionResult: number/total (%)Observations
BaselineAugustPerformance prior to interventionsDocumentation: 6/13 (46%)
Counselling: 3/10 (30%)
Provider action: 1/3 (33%)

  • Not applicable

PDSA #1SeptemberRheumatology conference for stakeholdersDocumentation: 7/15 (47%)
Counselling: 6/12 (50%)
Provider action: 2/6 (33%)

  • Provider difficulty remembering to discuss

PDSA #2OctoberContraception added to review of systems (ROS) section of provider note templateDocumentation: 12/16 (75%)
Counselling: 4/9 (44%)
Provider action: 2/4 (50%)

  • Compliance limited by note cloning and editing

PDSA #3NovemberRheumatology conference for stakeholders and discuss of ROSDocumentation: 9/14 (64%)
Counselling: 6/13 (46%)
Provider action: 2/6 (33%)

  • Education did not produce sustained effects

PDSA #4January–FebruaryQuestionnaire for patients to self-identify need for contraception and to serve as a prompt for providersDocumentation: 27/46 (59%)
Counselling: 14/26 (54%)
Provider action: 8/14 (57%)

  • Inappropriate patients received sheets

  • Providers unclear on course of action

PDSA #5Mid-AprilRheumatology conference presentation to discuss questionnairesDocumentation: 8/12 (67%)
Counselling: 7/11 (64%)
Provider action: 3/7 (43%)

  • Desire for standardised method of notification

PDSA #6End-AprilDiscussed questionnaires at faculty meetingDocumentation: 7/12 (58%)
Counselling: 3/8 (38%)
Provider action: 2/3 (67%)

  • Limited by physician enthusiasm

PDSA #7May 2015Discussed questionnaires at clinic staff meetingDocumentation: 21/34 (62%)
Counselling: 8/24 (33%)
Provider action: 5/8 (63%)

  • Extra sheet created confusion within clinic work flow