A Quality Improvement Initiative to Improve Normothermia While Transitioning Premature Infants to an Open Crib.

IF 1.2 Q3 PEDIATRICS

Pediatric quality & safety Pub Date : 2025-04-18 eCollection Date: 2025-05-01 DOI:10.1097/pq9.0000000000000809

Nadia Campbell, Austin Han, Ranjith Kamity, Amrita Nayak

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Abstract

Introduction: Current literature focuses on the optimal lowest weight and incubator temperature to transition an infant to an open crib, with minimal data quantifying the rate of failed attempts or standardizing the process. Due to multiple failed attempts at this institution in 2021, the project aimed to reduce the rate of preterm newborns who failed the crib by 10% in 1 year.

Methods: Interventions, including nursing education, an audit checklist, environmental changes, and a standardized protocol, were implemented after establishing baseline data.

Results: The incidence of failed transitions to an open crib decreased from a baseline of 13.5% failed cribs per monthly transition attempts to 3.3% failed cribs per monthly transition attempts in 18 months, a 76% decrease, where it is currently sustained. Of note, infants born between 32 and 35 weeks gestation had higher failure rates compared with those born <32 weeks.

Conclusions: Compliance with a thermoregulation protocol, utilizing an audit checklist, and standardizing the process improved the success rate of transitioning to an open crib.

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在将早产儿过渡到开放式婴儿床的过程中，一项质量改进倡议以改善正常母亲症。

简介：目前的文献主要集中在婴儿过渡到开放式婴儿床的最佳最低体重和培养箱温度上，很少有数据量化失败的尝试率或标准化的过程。由于该机构在2021年多次尝试失败，该项目的目标是在一年内将早产新生儿的婴儿床失败率降低10%。方法：在建立基线数据后，实施干预措施，包括护理教育、审计清单、环境变化和标准化方案。结果：过渡到开放式婴儿床失败的发生率在18个月内从每月13.5%的过渡失败下降到每月3.3%的过渡失败，下降了76%，目前保持不变。值得注意的是，与出生的婴儿相比，32至35周出生的婴儿失败率更高。结论：遵守体温调节方案，使用审计清单，标准化流程提高了过渡到开放式婴儿床的成功率。

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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