Picarillo Alan Peter, Carlo Waldemar
Maine Neonatology Associates, Barbara Bush Children's Hospital, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA.
Division of Neonatology, University of Alabama-Birmingham, 1700 6th Avenue South, 9380 176F WIC, Birmingham, AL 35249, USA.
Clin Perinatol. 2017 Sep;44(3):701-712. doi: 10.1016/j.clp.2017.05.010.
Rates of chronic lung disease (CLD) in very low birthweight infants have not decreased at the same pace as other neonatal morbidities over the past 20 years. Multifactorial causes of CLD make this common morbidity difficult to reduce, although there have been several successful quality improvement (QI) projects in individual neonatal intensive care units. QI projects have become a mainstay of neonatal care over the past decade, with an increasing number of publications devoted to this topic. A specific QI project for CLD must be based on best available evidence in the medical literature, expert recommendations, or based on work by previous QI initiatives.
在过去20年中，极低出生体重儿的慢性肺病（CLD）发生率并未与其他新生儿疾病以相同的速度下降。CLD的多因素病因使得这种常见疾病难以减少，尽管在个别新生儿重症监护病房已经有几个成功的质量改进（QI）项目。在过去十年中，QI项目已成为新生儿护理的主要支柱，越来越多的出版物致力于这一主题。针对CLD的特定QI项目必须基于医学文献中的最佳现有证据、专家建议或基于先前QI倡议的工作。
