Campbell Nadia, Han Austin, Kamity Ranjith, Nayak Amrita
From the Department of Pediatrics, NYU Langone Hospital-Long Island, Mineola, N.Y.
Pediatr Qual Saf. 2025 Apr 18;10(3):e809. doi: 10.1097/pq9.0000000000000809. eCollection 2025 May-Jun.
Current literature focuses on the optimal lowest weight and incubator temperature to transition an infant to an open crib, with minimal data quantifying the rate of failed attempts or standardizing the process. Due to multiple failed attempts at this institution in 2021, the project aimed to reduce the rate of preterm newborns who failed the crib by 10% in 1 year.
Interventions, including nursing education, an audit checklist, environmental changes, and a standardized protocol, were implemented after establishing baseline data.
The incidence of failed transitions to an open crib decreased from a baseline of 13.5% failed cribs per monthly transition attempts to 3.3% failed cribs per monthly transition attempts in 18 months, a 76% decrease, where it is currently sustained. Of note, infants born between 32 and 35 weeks gestation had higher failure rates compared with those born <32 weeks.
Compliance with a thermoregulation protocol, utilizing an audit checklist, and standardizing the process improved the success rate of transitioning to an open crib.
当前文献聚焦于将婴儿转入开放式婴儿床时的最佳最低体重和暖箱温度，而量化失败尝试率或规范该过程的数据极少。由于该机构在2021年出现多次失败尝试，该项目旨在一年内将早产新生儿转入开放式婴儿床失败率降低10%。
在建立基线数据后，实施了包括护理教育、审核清单、环境改变和标准化方案在内的干预措施。
转入开放式婴儿床失败的发生率从每月转入尝试失败率基线的13.5%降至18个月时每月转入尝试失败率的3.3%，下降了76%，目前维持在该水平。值得注意的是，孕32至35周出生的婴儿与孕<32周出生的婴儿相比，失败率更高。
遵守体温调节方案、使用审核清单并规范流程提高了转入开放式婴儿床的成功率。
