Abstract：
OBJECTIVE: How do hospitals with and without an early pregnancy assessment unit (EPAU) adhere to guideline-based quality indicators for an EPAU relating to logistics, access to services and quality of early pregnancy care?
METHODS: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100% adherence to the 19 quality indicators.
RESULTS: Non-adherence was seen in three indicators (3/19 [16%]) for hospitals with an EPAU and in five indicators (5/19 [26%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU.
CONCLUSIONS: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.
METHODS: A qualitative interview study assessing the adherence to 19 quality indicators in four hospitals with an EPAU and four hospitals without an EPAU in the Netherlands. For each quality indicator, a ratio for guideline adherence was calculated. Overall non-adherence per hospital was defined as less than 100% adherence to the 19 quality indicators.
RESULTS: Non-adherence was seen in three indicators (3/19 [16%]) for hospitals with an EPAU and in five indicators (5/19 [26%]) for hospitals without an EPAU. A standard digital system for the registration of ultrasound findings and clear explanation of all treatment options was present in all hospitals with an EPAU and in three hospitals without an EPAU. Certified ultrasound training for working staff members was absent in all hospitals. A discrete waiting area was present in one hospital with an EPAU compared with none of the hospitals without an EPAU. Self-referrals from women with a previous ectopic pregnancy was accepted in one hospital with and in one hospital without an EPAU.
CONCLUSIONS: Non-adherence to guideline-based quality indicators for an EPAU was about the same for hospitals with and without an EPAU in the Netherlands.
摘要：
有和没有早孕评估单位(EPAU)的医院如何坚持基于指南的EPAU质量指标，
一项定性访谈研究，评估荷兰四家有EPAU的医院和四家没有EPAU的医院对19项质量指标的依从性。对于每个质量指标，计算了指南依从性的比率.每家医院的总体不依从性定义为对19项质量指标的依从性低于100%。
在有EPAU的医院的三个指标（3/19[16%]）和没有EPAU的医院的五个指标（5/19[26%]）中发现了不依从性。所有有EPAU的医院和没有EPAU的三家医院都有标准的数字系统，用于记录超声检查结果并明确解释所有治疗方案。所有医院都没有为在职工作人员提供经过认证的超声培训。一家拥有EPAU的医院存在离散的等候区，而没有一家没有EPAU的医院。在一家有EPAU的医院和一家没有EPAU的医院中，接受了以前有异位妊娠的妇女的自我转诊。
在荷兰，有和没有EPAU的医院对EPAU的基于指南的质量指标的不遵守情况大致相同。
一项定性访谈研究，评估荷兰四家有EPAU的医院和四家没有EPAU的医院对19项质量指标的依从性。对于每个质量指标，计算了指南依从性的比率.每家医院的总体不依从性定义为对19项质量指标的依从性低于100%。
在有EPAU的医院的三个指标（3/19[16%]）和没有EPAU的医院的五个指标（5/19[26%]）中发现了不依从性。所有有EPAU的医院和没有EPAU的三家医院都有标准的数字系统，用于记录超声检查结果并明确解释所有治疗方案。所有医院都没有为在职工作人员提供经过认证的超声培训。一家拥有EPAU的医院存在离散的等候区，而没有一家没有EPAU的医院。在一家有EPAU的医院和一家没有EPAU的医院中，接受了以前有异位妊娠的妇女的自我转诊。
在荷兰，有和没有EPAU的医院对EPAU的基于指南的质量指标的不遵守情况大致相同。
