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Quality Assurance01:19

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Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
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Statistical Process Control (SPC) is a method used to monitor and control quality within processes, particularly in manufacturing and service delivery, by employing statistical methods. SPC aims to distinguish between natural (common cause) variation and variation due to specific changes or events (special cause), allowing for timely improvements and sustained quality. The control chart, a pivotal tool in SPC, visually displays data over time alongside a central line of upper and lower control...
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Pump Early, Pump Often: A Continuous Quality Improvement Project.

Diane L Spatz, Elizabeth B Froh, Jessica Schwarz

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    |February 3, 2016
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    Summary
    This summary is machine-generated.

    Many mothers struggle to maintain milk supply for critically ill infants. A quality improvement project at the Children's Hospital of Philadelphia focused on early and frequent pumping to support mothers and ensure human milk provision.

    Keywords:
    breastfeedingcontinuous quality improvement (CQI)human milkmilk expressionpumping

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    Area of Science:

    • Neonatal care
    • Lactation science
    • Quality improvement in healthcare

    Background:

    • Many mothers of critically ill infants initiate milk expression but struggle to sustain milk production throughout the infant's hospitalization.
    • Human milk is considered a crucial medical intervention for infants with complex cardiac and congenital anomalies.
    • The Garbose Family Special Delivery Unit (SDU) identified a need to optimize pumping initiation protocols.

    Purpose of the Study:

    • To describe a continuous quality improvement project aimed at enhancing milk supply maintenance for infants requiring hospitalization.
    • To ensure mothers of critically ill infants adhere to best practices for early and frequent milk expression.

    Main Methods:

    • Implementation of a continuous quality improvement project on the Special Delivery Unit (SDU).
    • Focus on ensuring mothers commenced milk expression early and maintained a frequent pumping schedule.
    • Involvement of childbirth educators in preparing mothers for potential infant hospitalization.

    Main Results:

    • The project aimed to improve the success rate of mothers maintaining milk supply for their hospitalized infants.
    • Early and frequent pumping protocols were established as a key component of infant care.

    Conclusions:

    • Optimizing pumping initiation and maintenance is critical for providing human milk to critically ill infants.
    • Continuous quality improvement initiatives can enhance lactation support for mothers of hospitalized infants.
    • Childbirth education is vital for preparing expectant mothers for the possibility of infant hospitalization and the importance of milk expression.