Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC.
Department of Neonatology, East Carolina University Health Medical Center, Greenville, NC.
Am J Med Qual. 2024;39(3):105-114. doi: 10.1097/JMQ.0000000000000180. Epub 2024 Apr 24.
Reports of parental dissatisfaction from incomplete or inconsistent information led to a quality improvement (QI) project to establish planned family conferences at 10 days and 1 month of life, for 50% of the medically complex neonates admitted to a neonatal intensive care unit within 1 year. A QI team instituted a system in which social workers scheduled family conferences and a neonatologist conducted the conferences. Team members tracked measures using statistical process control charts over 21 months. The QI team scheduled conferences for greater than 80% of eligible families, with an 86% completion rate on days 10 and 30, exceeding project goals of 50%. The majority of the families surveyed were satisfied with the meetings. Only 2% of parents surveyed found meetings burdensome, compared to 14% of physicians. A sustainable method for scheduling meetings and preparation for conferences, including the use of a template led to success.
报告称，由于信息不完整或不一致，导致家长不满，因此开展了一项质量改进（QI）项目，计划在 10 天和 1 个月时为入住新生儿重症监护病房的 50%复杂型新生儿举办有计划的家庭会议，时间为 1 年。QI 团队建立了一个系统，由社会工作者安排家庭会议，由新生儿科医生主持会议。团队成员在 21 个月的时间里使用统计过程控制图跟踪措施。QI 团队为超过 80%的合格家庭安排了会议，第 10 天和第 30 天的完成率达到 86%，超过了 50%的项目目标。接受调查的大多数家庭对会议表示满意。只有 2%的家长认为会议繁琐，而医生的这一比例为 14%。会议安排和会议准备的可持续方法，包括使用模板，促成了这一成功。
