制定呼吸质量改进计划，以预防和治疗新生儿重症监护病房的支气管肺发育不良。
Developing a Respiratory Quality Improvement Program to Prevent and Treat Bronchopulmonary Dysplasia in the Neonatal Intensive Care Unit.
机构信息
Department of Pediatrics, Division of Neonatology, Columbia University Medical Center, 3959 Broadway Avenue, New York, NY 10032, USA.
Department of Pediatrics, Division of Neonatology, Vanderbilt University Medical Center, 4413 VCH, 2200 Children's Way, Nashville, TN 37232, USA; Center for Child Health Policy, Vanderbilt University Medical Center, Nashville, TN, USA; Critical Illness, Brain Dysfunction, and Survivorship Center, Vanderbilt University Medical Center, Nashville, TN, USA.
出版信息
Clin Perinatol. 2023 Jun;50(2):363-380. doi: 10.1016/j.clp.2023.01.003. Epub 2023 Mar 21.
Improvements in respiratory care have resulted in improved outcomes for preterm infants over the past three decades. To target the multifactorial nature of neonatal lung diseases, neonatal intensive care units (NICUs) should consider developing comprehensive respiratory quality improvement programs that address all drivers of neonatal respiratory disease. This article presents a potential framework for developing a quality improvement program to prevent bronchopulmonary dysplasia in the NICU. Drawing on available research and quality improvement reports, the authors discuss key components, measures, drivers, and interventions that should be considered when building a respiratory quality improvement program devoted to preventing and treating bronchopulmonary dysplasia.
在过去的三十年中，呼吸护理的改进使得早产儿的预后得到了改善。为了针对新生儿肺部疾病的多因素性质，新生儿重症监护病房（NICU）应考虑制定全面的呼吸质量改进计划，以解决所有导致新生儿呼吸疾病的因素。本文提出了一个在 NICU 中预防支气管肺发育不良的质量改进计划的潜在框架。本文作者参考了现有的研究和质量改进报告，讨论了在建立专门用于预防和治疗支气管肺发育不良的呼吸质量改进计划时应考虑的关键组成部分、措施、驱动因素和干预措施。
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