Yvette Penner, Sabah Sabir, Kathleen Quirk, Julia Foster, Kristen Earley Lindamood, Jaclyn Mello, Jimena Gayol Ortega, Sophia Tate, Kristen T Leeman, Coral Rudie, Sarah U Morton
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引用次数: 0
摘要
目的：增加符合条件的新生儿重症监护病房（NICU）婴儿板的使用长度。研究设计：我们实施了一项质量改进研究，涉及704名IV级新生儿重症监护病房的婴儿。一个多学科工作组制定了长度测量技术指南，并完成了计划-执行-研究-行动循环。结果测量是每周接受长度板测量的符合条件的婴儿的比例。过程测量是指每周有任何长度测量或有记录方法的婴儿的比例。平衡指标为排水管、导管或导管意外移位的发生率。结果：指南发布后，两种工艺测量的比例均有所增加。周平均长度百分比从11%增加到63%。没有发生移位事件。长度板测量不太可能显示每周的负变化（10% vs 18%, 16/161 vs 59/326, Fisher p = 0.02）。结论：在IV级NICU中，质量改进倡议增加了长度板的安全使用。
Increasing length board use in a neonatal intensive care unit: a quality improvement initiative.
Objective: To increase length board use for eligible neonatal intensive care unit (NICU) infants.
Study design: We implemented a quality improvement study involving 704 infants in our level IV NICU. A multidisciplinary workgroup developed guidelines for length measurement technique and completed Plan-Do-Study-Act cycles. Outcome measure was the weekly proportion of eligible infants who received a length board measurement. Process measures were the weekly proportion of infants with any length measurement or had method documented. Balancing measure was the incidence of unplanned dislodgements of drains, tubes, or catheters.
Results: After the guideline launch, both process measure proportions increased. Weekly mean percentage of length board increased from 11 to 63%. There were no dislodgement events. Length board measurements were less likely to demonstrate a negative change week-to-week (10% vs 18%, 16/161 vs 59/326, Fisher p = 0.02).
Conclusion: In a level IV NICU, a quality improvement initiative increased the safe use of length boards.
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.
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