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CME Credit Offered
CME Credit Offered
Abstract Award
Abstract Award
Recording available 2/16-5/2
Recording available 2/16-5/2
AIUM Credit
AIUM Credit
Foundation Awardee
Foundation Awardee
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Abstract Award
Abstract Award
Foundation Awardee
Foundation Awardee

Oral Concurrent Session 9 - Quality

Oral Concurrent Sessions

Oral Concurrent Session 9 - Quality

(90) Reducing Obstetric Treatment Delays with Real-Time Clinical Decision Support on Labor and Delivery

Friday, February 13, 2026
8:00 AM - 8:15 AM  
Location: Summit 218 - 221
Foundation Awardee
Objective:

Timely treatment of severe hypertension (HTN) and intraamniotic infection (IAI) are key quality metrics for labor and delivery (L&D) units. We evaluated whether riskLD, a clinical decision support tool integrated within electronic health records (EHR) which issues real-time alerts to prompt timely care, reduced treatment delays.

Study Design:

We conducted an interrupted time series study over 24 months (3/2023-2/2025) on a single tertiary care L&D unit. riskLD was implemented in February 2024. We assessed monthly rates of delayed initiation of antibiotics for IAI ( >1 hour) after meeting ACOG-defined IAI criteria and delayed treatment of severe HTN ( >1hour) after two consecutive severe blood pressures. Segmented regression was used to assess trends over time. Prais–Winsten estimation was used to account for autocorrelation. Models included terms for pre-implementation trend, immediate change after riskLD implementation, and post-implementation trend.

Results:

There were 2992 and 3853 deliveries in the pre and post implementation periods, respectively. For IAI, there was a significant increasing trend in delayed treatment prior to riskLD implementation (β = +3.7% per month, p</span> = 0.01), followed by a significant immediate 32% reduction in delayed treatment after riskLD implementation (p = 0.01) that remained stable post-implementation (p=0.24). For severe HTN, there was no significant trend pre-implementation, however riskLD implementation was associated with a significant immediate 9% reduction in treatment delays (p = 0.048), which remained stable post-implementation (p=0.40).

Conclusion:

Implementation of real-time EHR alerts via riskLD was associated with immediate and durable reductions in delayed treatment of IAI and severe HTN.