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Finding treasure in the journey: a single center quality improvement bundle to reduce bronchopulmonary dysplasia

Nichole Adiletta1, Anne Denslow1, Renee Martinez1

  • 1Division of Neonatology, CHOC Children's, Orange, CA, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|November 26, 2024
PubMed

Insights

Implementing a quality improvement (QI) bundle for preterm infants did not change overall bronchopulmonary dysplasia (BPD) rates. However, the intervention significantly reduced mild BPD cases and improved respiratory care practices.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Quality Improvement Science

Background:

  • Reducing bronchopulmonary dysplasia (BPD) in preterm infants is challenging with single interventions.
  • A quality improvement (QI) bundle approach may address multifactorial BPD risk factors more effectively.

Purpose of the Study:

  • To reduce BPD incidence in preterm infants.
  • Implement a comprehensive, evidence-based respiratory care bundle within 12 months.

Main Methods:

  • A single-center, interdisciplinary QI initiative focused on enhancing respiratory care.
  • Targeted preterm infants born less than 30 weeks gestation.

Main Results:

  • All process improvement targets were met.
  • Overall BPD incidence remained unchanged (45% vs. 44.3%).
  • A significant reduction in grade 1 BPD was observed (24.5% vs. 12.4%, p=0.032).

Conclusions:

  • Structured, interdisciplinary QI initiatives can enhance respiratory care for high-risk infants.
  • QI may positively influence outcomes for infants at risk of BPD.
Abstract

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