Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by implementation of a care bundle.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-03-27 DOI:10.1038/s41372-025-02274-5

Samantha D Peltola, Uduak S Akpan, Dmitry Tumin, Penni Huffman

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引用次数: 0

Abstract

Objective: To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months.

Population: All infants born less than 30 gestational weeks.

Methods: Targeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 - April 2024.

Outcome measures: A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation.

Results: The rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in the intervention period.

Conclusion: Standardization of care using a sIVH prevention bundle was instrumental in the success of this project.

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质量改进倡议，以减少严重脑室内出血率的早产儿实施护理包。

目的：降低新生儿重症监护病房（NICU）早产儿8个月内严重脑室内出血（sIVH）的发生率至10%。人口：所有少于30孕周出生的婴儿。方法：有针对性的干预措施侧重于生命的前72小时，包括尽量减少对脑血流的干扰和尽量减少刺激。数据收集自2023年9月至2024年4月对电子病历的审查。结果测量：sIVH减少（III-IV级），床头抬高率增加，评估因床头抬高引起的足部/盆腔水肿。结果：在8个月的实施期内，sIVH发生率从基线期的24.4%下降到干预期的9.3%。结论：使用sIVH预防包的标准化护理是该项目成功的关键。

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 Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.