Improving thermoregulation in transported preterm infants: a quality improvement initiative.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
received:
24
03
2020
accepted:
07
07
2020
revised:
16
06
2020
pubmed:
18
7
2020
medline:
1
9
2021
entrez:
18
7
2020
Statut:
ppublish
Résumé
Increase the percentage of transported preterm or LBW infants with an admission temperature of 36.5-37.5 °C from 60 to 80% by December 2017. We used the Model for Improvement with Plan-Do-Study-Act (PDSA) cycles. Interventions focused on awareness of temperature control in preterm infants, adequate monitoring, and maintaining normothermia. Interventions consisted of standardizing isolette temperature, use of chemical warming pack and plastic wrap, and feedback. Data were plotted on a p-chart and grouped by month. A total of 381 infants <37 weeks or <2.5 kg were transported from January 2016 to December 2019. At baseline 60% were admitted with a temperature within the range of 36.5-37.5 °C. Special cause variation was noted twice during the study period, initially to 80% in June 2018 and then to 96% in April 2019, without an increase in hyperthermia. Multidisciplinary quality improvement efforts improved normothermia in vulnerable transported infants to 96%.
Identifiants
pubmed: 32678317
doi: 10.1038/s41372-020-0732-z
pii: 10.1038/s41372-020-0732-z
pmc: PMC7860135
mid: NIHMS1662058
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
339-345Subventions
Organisme : NCRR NIH HHS
ID : UL1 RR024989
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002548
Pays : United States
Commentaires et corrections
Type : CommentIn
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