Quality-Improvement Effort to Reduce Hypothermia Among High-Risk Infants on a Mother-Infant Unit
In: Pediatrics, Jg. 141 (2018-02-14), S. e20171214
Online
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Zugriff:
Neonatal hypothermia is common in low birth weight (LBW) (2500 g) and late-preterm infants (LPIs) (34 0/7-36 6/7 weeks' gestation). It can be a contributory factor for newborn admission to a NICU, resulting in maternal-infant separation and increased resource use. Our objective was to study the efficacy of a quality-improvement bundle of hypothermia preventive measures for LPIs and/or LBW infants in a mother-infant unit.We conducted plan-do-study-act (PDSA) cycles aimed at decreasing environmental hypothermia for LPIs and/or LBW infants in a mother-infant unit with no other indications for NICU-level care. Interventions included using warm towels after delivery, a risk identification card, an occlusive hat, delayed timing of first bath, submersion instead of sponge-bathing, and conducting all assessments under a radiant warmer during the initial hours of life. We implemented these interventions in 3 PDSA cycles and followed hypothermia rates by using statistical process control methods.The baseline mean monthly hypothermia rate among mother-infant unit LPIs and/or LBW infants was 29.8%. Postintervention, the rate fell to 13.3% (-16.5%;Targeted interventions can significantly reduce hypothermia in otherwise healthy LPIs and/or LBW newborns and allow them to safely remain in a mother-infant unit. If applied broadly, such preventive practices could decrease preventable hypothermia in high-risk populations.
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Quality-Improvement Effort to Reduce Hypothermia Among High-Risk Infants on a Mother-Infant Unit
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Autor/in / Beteiligte Person: | Whatley, Colleen ; Emily Caron Brayton ; Christine B Andrews ; Alison Volpe Holmes ; Simone, Suzanne ; Smith, Meaghan |
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Zeitschrift: | Pediatrics, Jg. 141 (2018-02-14), S. e20171214 |
Veröffentlichung: | American Academy of Pediatrics (AAP), 2018 |
Medientyp: | unknown |
ISSN: | 1098-4275 (print) ; 0031-4005 (print) |
DOI: | 10.1542/peds.2017-1214 |
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