利用专门的分娩团队开展质量改进计划以提高黄金一小时及时性。
Quality improvement initiative to impact Golden Hour timeliness using a dedicated delivery team.
作者信息
Welch Blair, Stanton Tully Jennifer, Horan Jessica, Thomas Anna, Lien Izlin, Barbato Alana
机构信息
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Riley Children's Health, Indiana University Health, Indianapolis, IN, USA.
出版信息
J Perinatol. 2024 Mar;44(3):452-457. doi: 10.1038/s41372-023-01731-3. Epub 2023 Jul 20.
OBJECTIVE
Golden Hour (GH) care impacts immediate and long-term outcomes for premature infants. We hypothesized that creation of a dedicated delivery team, the Stork Team, would improve delivery of GH care.
METHODS
A GH quality improvement initiative was created for infants born at <32 weeks and implemented in July 2018. Data were collected from GH checklists and the electronic medical record.
RESULTS
Following Stork Team implementation there was special cause variation noted in the minute of life (MOL) for administration of dextrose containing fluids and antibiotics. Dextrose containing fluid time improved from 111 to 67 MOL, with an increase in the percentage of patients receiving fluids by 60 MOL. Antibiotic administration improved from 180 to 82.5 MOL. GH checklist completion increased from 77% to 98% and time to isolette closure improved from 88 to 62 MOL.
CONCLUSION
Implementation of the Stork Team was associated with improvements in timeliness of GH care.
目的
黄金一小时（GH）护理对早产儿的近期和长期预后有影响。我们假设组建一个专门的分娩团队——鹳队，将改善GH护理的实施情况。
方法
为孕周小于32周出生的婴儿开展了一项GH质量改进计划，并于2018年7月实施。数据从GH检查表和电子病历中收集。
结果
鹳队实施后，含葡萄糖液体和抗生素给药的生命分钟数（MOL）出现特殊原因变异。含葡萄糖液体给药时间从111分钟缩短至67分钟，60分钟内接受液体治疗的患者百分比增加。抗生素给药时间从180分钟缩短至82.5分钟。GH检查表完成率从77%提高到98%，暖箱关闭时间从88分钟缩短至62分钟。
结论
鹳队的实施与GH护理及时性的改善相关。
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