Institutions can meaningfully reduce racial disparities in urine toxicology testing at delivery by eliminating universal testing and adopting any standardized criteria-based screening protocol—provided the criteria are grounded in clinical evidence rather than demographic variables that function as proxies for race.
The successful implementation of a privacy-centered, iPad-based substance use screening tool on labor and delivery required multiyear planning, cross-disciplinary staff education, and close collaboration with institutional informatics teams, with formal patient experience assessment planned as a next step.
Standardized, patient-completed screening for substance use at delivery admissions reduced racial disparities in urine toxicology testing while improving testing efficiency, according a study from Mariam Naqvi, MD, and colleagues.
Four years into the COVID-19 pandemic, what we know about the novel coronavirus and pregnancy has evolved. Find out what we've learned thus far.
