Clinical Effectiveness Officer, Acute Care, ChristianaCare, Newark, DE, USA.
Clinical Professor of Pediatrics, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
J Perinatol. 2022 Oct;42(10):1277-1282. doi: 10.1038/s41372-022-01383-9. Epub 2022 Apr 2.
In the past 3 decades, quality improvement methodology has often been employed in medicine to improve patient outcomes. Neonatal medicine has seen an increase in publications using improvement science to ensure the application of potentially better practices to decrease complications and increase survival without major disability. This article reviews quality improvement studies that have impacted neonatal mortality and morbidity, as well as specific disease processes including bronchopulmonary dysplasia, intraventricular hemorrhage, necrotizing enterocolitis, and retinopathy of prematurity. Using improvement science, studies have substantially reduced neonatal mortality and the major complications of preterm birth.
在过去的 30 年中，质量改进方法学经常被应用于医学领域，以改善患者的预后。新生儿医学领域发表了越来越多的使用改进科学的文献，以确保应用潜在更好的实践来减少并发症并增加存活率，而不会造成重大残疾。本文综述了影响新生儿死亡率和发病率的质量改进研究，以及特定疾病过程，包括支气管肺发育不良、脑室出血、坏死性小肠结肠炎和早产儿视网膜病变。通过改进科学，研究显著降低了新生儿死亡率和早产的主要并发症。
