Voos Kristin C, Terreros Amy, Larimore Phyllis, Leick-Rude Mary Kay, Park Nesha
a Division of Neonatology , Department of Pediatrics .
J Matern Fetal Neonatal Med. 2015;28(14):1637-40. doi: 10.3109/14767058.2014.964679. Epub 2014 Sep 29.
Sudden infant death syndrome (SIDS) remains the leading cause of death in the postnatal period. Accidental suffocation and strangulation in bed deaths have quadrupled. The American Academy of Pediatrics (AAP) expanded its back to sleep recommendations to include a safe sleep environment. The AAP makes recommendations to healthcare professionals to model safe sleep practices and educate families on SIDS reduction strategies. The dual aims of this project were to develop a safe sleep educational model for our neonatal intensive care unit (NICU), and to increase the percentage of eligible infants in a safe sleep environment.
The NICU Safe Sleep policy was revised to include AAP updated recommendations. Educational updates were provided to staff. A safe sleep packet with a video was created for and shared with families. Wearable blankets were implemented. A safe sleep observation checklist was created. Baseline data and post-education random observations data were collected and shared with staff.
At baseline, 21% of eligible infants were in a safe sleep environment. After education and reported observation, safe sleep compliance increased to 88%.
With formal staff and family education, optional wearable blanket, and data sharing, safe sleep compliance increased and patient safety improved.
婴儿猝死综合征（SIDS）仍然是产后时期的主要死因。床上意外窒息和勒死死亡病例增加了四倍。美国儿科学会（AAP）扩大了其“仰卧睡眠”建议，将安全睡眠环境纳入其中。AAP向医疗保健专业人员提出建议，以树立安全睡眠习惯，并就降低SIDS风险的策略对家庭进行教育。该项目的双重目标是为我们的新生儿重症监护病房（NICU）开发一种安全睡眠教育模式，并提高处于安全睡眠环境中的符合条件婴儿的比例。
修订NICU安全睡眠政策，纳入AAP的最新建议。向工作人员提供教育更新内容。为家庭创建并分享了一个包含视频的安全睡眠资料包。采用了可穿戴毛毯。创建了一份安全睡眠观察检查表。收集了基线数据和教育后随机观察数据，并与工作人员分享。
在基线时，21%的符合条件婴儿处于安全睡眠环境。经过教育和报告观察后，安全睡眠合规率提高到了88%。
通过正式的工作人员和家庭教育、可选的可穿戴毛毯以及数据共享，安全睡眠合规率提高，患者安全得到改善。
