Athena T Samaras, Alison E Sweeney, Emilee C Lewis, Julie A Thompson, Julee Waldrop
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引用次数: 0
Abstract
Background: Hemolytic disease of the newborn (HDN) is a rare condition with the potential for high morbidity.
Local problem: Practice at a large maternity care center did not align with the American Academy of Pediatrics (AAP) revised hyperbilirubinemia guidelines.
Methods: A pre/post-implementation design with Plan-Do-Study-Act cycles was used.
Interventions: A clinical pathway was implemented to improve timely evaluation of newborns at risk for HDN due to a positive maternal antibody using cord blood.
Results: Cord blood testing increased among the subset of newborns who did not meet collection criteria prior to the practice change (pre: 0% n = 7, post: 39% n = 23). Missed opportunities to test cord blood occurred less frequently post (35 versus 26 days between missed opportunities). Feasibility data identified the need for educational and clinical tools.
Conclusions: A clinical pathway and tailored tools support the AAP recommendation. Electronic health record supports could bolster future efforts.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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