通过全州范围的质量合作,改善田纳西州的延迟绳索紧
Scott O Guthrie1,2,3, Howard E Herrell1,4, Patricia A Scott1,5
1Tennessee Initiative for Perinatal Quality Care, Nashville, Tennessee.
Pediatrics
|April 14, 2025
概括
至少60秒的延迟带紧 (DCC) 在27家医院的83%的婴儿中成功实施. 这项质量改善计划显著提高了出生期间的婴儿护理.
科学领域:
- 新生儿护理 新生儿护理
- 围产期质量改善 围产期质量改善
- 公共卫生倡议 公共卫生倡议
背景情况:
- 延迟带紧 (DCC) 为新生儿提供了显著的好处.
- 标准化DCC实践对于改善婴儿结果至关重要.
- 一个质量改进 (QI) 倡议旨在提高DCC费率.
研究的目的:
- 在参与医院中,将至少60秒的延迟带紧 (DCC) 接受的婴儿比例提高到至少90%.
- 为DCC实施和评估一个全州的QI倡议.
- 监测DCC对婴儿护理的影响.
主要方法:
- 2022年1月,在5家试点医院推出了QI计划,并在2022年5月扩展到22家.
- 从2022年1月到2023年6月,每月收集的数据跟踪了活产,DCC率和婴儿人口统计数据.
- 监测了平衡措施 (Apgar分数,低温) 和工艺措施.
主要成果:
- 83% (61,642/74,241) 的婴儿接受了至少60秒的DCC.
- 干预后,总基线DCC率76%提高到调整后的平均率87%.
- 在所有设施层面上都观察到QI倡议的积极影响.
结论:
- 全州范围内的围产期QI协作成功增强了DCC实践的实施.
- 基于证据的QI倡议在增加推婴儿护理实践的采用方面是有效的.
- 这一举措表明,通过标准化的DCC,婴儿在出生期间的护理得到了显著的改善.
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