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Study objective This project aims to implement the Pregnancy Reasonably Excluded Guide in an outpatient family planning teen clinic using the EPIDEM quality improvement (QI) framework. Design Quality improvement SETTING Outpatient family planning teen clinic in an urban center. Participants Female teen clinic patients (ages 13-19). Interventions The use of the EPIDEM (Explore relevant issues and contextual factors, Promote to the right people, Implement timely solutions, Document steps, Evaluate with meaningful measu