Overcoming barriers to oxygen saturation targeting.
Susannah P Ford1, Mary Kay Leick-Rude, Kerri A Meinert
1Section of Neonatology, Department of Pediatrics, Children's Mercy Hospitals and Clinics, 2401 Gillham Rd, Kansas City, MO 64108, USA.
Pediatrics
|November 3, 2006
Summary
Implementing oxygen saturation targeting in neonatal intensive care units (NICUs) improved oxygen saturation levels in very low birth weight infants. This quality improvement initiative successfully reduced hyperoxia and changed clinical practice.
Area of Science:
- Neonatal Medicine
- Pediatric Respiratory Care
- Quality Improvement Science
Background:
- Hyperoxia is a significant concern for very low birth weight infants receiving supplemental oxygen.
- Neonatal respiratory quality improvement initiatives aim to optimize oxygen delivery and reduce associated risks.
Purpose of the Study:
- To implement and evaluate an oxygen saturation targeting protocol in very low birth weight infants.
- To reduce the incidence of hyperoxia by establishing optimal oxygen saturation ranges.
Main Methods:
- Utilized rapid-cycle quality improvement projects to adapt and implement an oxygen saturation targeting protocol.
- Monitored hourly oxygen saturation levels using pulse oximetry in the target infant population.
Main Results:
- Increased the percentage of time within the target oxygen saturation range (90%-94%) from 20% to 35%.
- Significantly decreased the percentage of time with oxygen saturation above 98% from 30% to an average of 5%-10%.
Conclusions:
- A strategic approach to oxygen saturation targeting can lead to lasting changes in clinical practice.
- Successful implementation can foster a cultural shift within NICUs regarding oxygen management.
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Equipment
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