Ellsbury Dan L, Clark Reese H
The Center for Research, Education and Quality, Pediatrix Medical Group, Inc., Sunrise, Florida, USA.
Curr Opin Pediatr. 2017 Apr;29(2):129-134. doi: 10.1097/MOP.0000000000000457.
Quality improvement initiatives in neonatology have been promoted as an important way of improving outcomes of newborns. The purpose of this review is to examine the effectiveness of recent quality improvement work in improving the outcomes of infants requiring neonatal intensive care.
Quality improvement collaboratives and single-center projects demonstrate improvement of clinical processes and outcomes in neonatology that impact both preterm and term infants. Declines in morbidities, resource use, and length of stay have been associated with reductions in healthcare costs.
Recent quality improvement work has shown evidence of improvement in clinical outcomes in neonatal intensive care patients. These improvements have important implications for the reduction of healthcare costs in this population.
新生儿科的质量改进举措已被视为改善新生儿预后的重要途径。本综述旨在探讨近期质量改进工作在改善需要新生儿重症监护的婴儿预后方面的有效性。
质量改进协作组和单中心项目表明，新生儿科的临床流程和预后得到改善，这对早产儿和足月儿均有影响。发病率、资源使用和住院时间的下降与医疗成本的降低相关。
近期的质量改进工作已证明新生儿重症监护患者的临床预后有所改善。这些改善对降低该人群的医疗成本具有重要意义。
