A quality improvement initiative for neonatal hypoglycemia screening and management in a level III neonatal intensive care unit.
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:
Oct 2023
Oct 2023
Historique:
received:
31
10
2022
accepted:
24
07
2023
revised:
07
07
2023
pubmed:
3
8
2023
medline:
3
8
2023
entrez:
2
8
2023
Statut:
ppublish
Résumé
To bring screening and management of neonatal hypoglycemia in alignment with the 2011 AAP hypoglycemia clinical report METHODS: A multidisciplinary team developed a quality improvement initiative for neonatal hypoglycemia in neonates ≥35 weeks gestational age in a Level III neonatal intensive care unit between July 2020 and December 2021. A key driver diagram identified interventions for plan-do-study-act testing with corresponding measures to implement a hypoglycemia management protocol and improve adherence to AAP guidelines. Time to first blood glucose measurement increased from 49.8 to 122.7 min of life and time to first enteral feed decreased from 14.2 to 3.6 h of life. Neonates receiving intravenous dextrose decreased from 97.1 to 24.7% and discharge rates as a mother-neonate dyad increased from 35 to 62.4%. Adherence to the AAP guidelines improved during testing and implementation of a hypoglycemia protocol and was associated with an increased mother-neonate dyad discharge rate.
Identifiants
pubmed: 37532760
doi: 10.1038/s41372-023-01740-2
pii: 10.1038/s41372-023-01740-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1321-1329Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.
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