在第三级IV新生儿重症监护病房中提高出生剂量乙型肝炎疫苗接种率
Indirapriya Avulakunta1, Palanikumar Balasundaram2, Alma Rechnitzer3
1From the Division of Neonatology, Department of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Ark.
Pediatric quality & safety
|October 11, 2023
概括
一项质量改善计划成功提高了新生儿重症监护室 (NICU) 的乙型肝炎疫苗 (HBV) 率. 符合条件的婴儿得到了及时的HBV免疫接种,改善了公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 免疫接种实践 免疫接种实践
- 新生儿护理 新生儿护理
背景情况:
- 围产期乙型肝炎是一个重要的全球健康问题.
- 建议在出生后24小时内为婴儿接种乙型肝炎疫苗 (HBV).
- 新生儿重症监护室 (NICU) 的婴儿经常错过了及时的HBV疫苗接种.
研究的目的:
- 实施质量改善 (QI) 倡议,以提高IV级NICU的出生剂量HBV免疫率.
- 在重量超过2000克的NICU婴儿中解决错过的HBV疫苗接种问题.
- 改善适宜的新生儿及时给予HBV的情况.
主要方法:
- 一个多学科的QI团队使用石川因果图识别了障碍.
- 干预措施包括加强合作,EMR提醒,教育和改善沟通.
- 在19个月内进行了四个计划-做-研究-行动的周期.
主要成果:
- 在12小时内服用出生剂量HBV的比率从24%增加到56%.
- 在24小时内,这一比例从31%提高到64%.
- 过程测量合规性超过了25%的改进目标,并证明了持续的结果.
结论:
- 该QI倡议有效地改善了NICU中符合条件的婴儿的及时HBV管理.
- 这一举措可以成为其他机构提高HBV免疫率的典范.
- 提高疫苗接种率有助于减少围产期乙型肝炎的传播.
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