Improvement in rates of optimal cord management without an increase in admission hypothermia-results of two quality improvement projects

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2024-04-16 DOI:10.1016/j.jnn.2024.04.006

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引用次数: 0

Abstract

Background

Improving the rates of Optimal cord management (OCM), and maintaining admission normothermia remains a challenge.

Objective

To improve OCM rates and admission normothermia in a tertiary perinatal centre in the UK.

Methods

Two Quality Improvement (QI) projects were launched in 2021 to increase OCM rates to 70% and admission normothermia rates to 80% by December 2023. Our QI project involved multidisciplinary team engagement, development of guidelines, and education.

Results

Following the QI interventions, our rates of OCM improved from 15% to 62% and admission normothermia from 50% to 87%. The most common reason for not performing OCM was the perceived need for resuscitation (72%). There are no increased odds of preterm infants receiving OCM and admission hypothermia (OR 0.23), and admission temperature above 37.5 C (OR 0.47).

Conclusions

Through our QI initiatives we have significantly improved rates of OCM and admission normothermia rates in preterm infants.

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在不增加入院低体温的情况下提高脐带最佳管理率--两个质量改进项目的成果

背景提高最佳脐带管理（OCM）率和维持入院体温正常仍是一项挑战。目标提高英国一家三级围产中心的OCM率和入院体温正常率。方法2021年启动了两个质量改进（QI）项目，旨在到2023年12月将OCM率提高到70%，入院体温正常率提高到80%。我们的 QI 项目包括多学科团队参与、制定指南和开展教育。结果在采取 QI 干预措施后，我们的 OCM 率从 15% 提高到 62%，入院常温率从 50% 提高到 87%。未实施 OCM 的最常见原因是认为需要复苏（72%）。早产儿接受 OCM 和入院体温过低（OR 0.23）以及入院体温超过 37.5 C（OR 0.47）的几率并没有增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.