McDermott Traci L, Vernon Margaret M, Schultz Amy H
Department of Pediatrics and.
Department of Pediatrics and Division of Cardiology, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, Washington.
Hosp Pediatr. 2015 Apr;5(4):193-202. doi: 10.1542/hpeds.2014-0096.
To determine the extent of voluntary implementation of pulse oximetry screening for critical congenital heart disease (CCHD) in Washington. At the time of the study, there was no state legislative or regulatory mandate for CCHD screening in Washington.
A Web-based survey was sent to the nurse manager or nurse educator of the well newborn unit at each of the 64 Washington hospitals with active delivery services in May and June 2013. Telephone follow-up was conducted for incomplete surveys. The survey assessed awareness and implementation of the recommendation, the protocol followed, staffing and equipment issues, pediatric cardiology support services, and the availability of prostaglandin E1 at each birth hospital. A brief follow-up was performed in December 2013 for hospitals not screening at the time of the initial survey.
As of December 2013, 89% of Washington birth hospitals (accounting for 91.4% of births) had active CCHD screening programs. The recommended protocol is used in 95% of screening hospitals. Screening programs were instituted in 96% of hospitals using existing staff, but 52% of hospitals purchased new durable equipment to institute screening.
There has been widespread voluntary adoption of pulse oximetry screening for CCHD in Washington birth hospitals. Quality assurance efforts are needed to assess the quality of the screening programs.
确定华盛顿州对危重型先天性心脏病（CCHD）进行脉搏血氧饱和度筛查的自愿实施程度。在研究开展时，华盛顿州没有关于CCHD筛查的州立法或监管规定。
2013年5月和6月，向华盛顿州64家提供分娩服务的医院的健康新生儿病房的护士长或护士教育者发送了基于网络的调查问卷。对未完成的调查问卷进行电话随访。该调查评估了对该建议的知晓和实施情况、遵循的方案、人员配备和设备问题、儿科心脏病学支持服务以及每家分娩医院前列腺素E1的可用性。2013年12月，对初次调查时未进行筛查的医院进行了简短随访。
截至2013年12月，华盛顿州89%的分娩医院（占分娩总数的91.4%）开展了CCHD筛查项目。95%的筛查医院采用了推荐方案。96%的医院利用现有工作人员开展了筛查项目，但52%的医院购买了新的耐用设备以开展筛查。
华盛顿州的分娩医院广泛自愿采用了脉搏血氧饱和度筛查CCHD的方法。需要开展质量保证工作来评估筛查项目的质量。
