Does quality improvement work in neonatology improve clinical outcomes?

被引：22

作者：

Ellsbury, Dan L. ^{[1
]}

Clark, Reese H. ^{[1
]}

机构：

[1] Pediat Med Grp Inc, Ctr Res Educ & Qual, Sunrise, FL USA

来源：

CURRENT OPINION IN PEDIATRICS | 2017年 / 29卷 / 02期

关键词：

collaborative; neonatology; premature infant; quality improvement; INHALED NITRIC-OXIDE; INTENSIVE-CARE UNITS; PRETERM INFANTS; INFECTION; IMPACT; PROJECT;

D O I：

10.1097/MOP.0000000000000457

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Purpose of review Quality improvement initiatives in neonatology have been promoted as an important way of improving outcomes of newborns. The purpose of this review is to examine the effectiveness of recent quality improvement work in improving the outcomes of infants requiring neonatal intensive care. Recent findings Quality improvement collaboratives and single-center projects demonstrate improvement of clinical processes and outcomes in neonatology that impact both preterm and term infants. Declines in morbidities, resource use, and length of stay have been associated with reductions in healthcare costs. Summary Recent quality improvement work has shown evidence of improvement in clinical outcomes in neonatal intensive care patients. These improvements have important implications for the reduction of healthcare costs in this population.

引用

页码：129 / 134

页数：6

共 27 条

[1] Effect of a Quality Improvement Project to Use Exclusive Mother's Own Milk on Rate of Necrotizing Enterocolitis in Preterm Infants [J].

Alshaikh, Belal ;

Kostecky, Linda ;

Blachly, Noreen ;

Yee, Wendy .

BREASTFEEDING MEDICINE, 2015, 10 (07) :355-361

[2] A Quality Improvement Project to Reduce Length of Stay for Neonatal Abstinence Syndrome [J].

Asti, Lindsey ;

Magers, Jacqueline S. ;

Keels, Erin ;

Wispe, Jonathan ;

McClead, Richard E., Jr. .

PEDIATRICS, 2015, 135 (06) :E1494-E1500

[3] Decreasing infection in neonatal intensive care units through quality improvement [J].

Bowen, J. R. ;

Callander, I. ;

Richards, R. ;

Lindrea, K. B. .

ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 2017, 102 (01) :F51-F57

[4] Inhaled Nitric Oxide Use in Neonates With Congenital Diaphragmatic Hernia [J].

Campbell, Brendan T. ;

Herbst, Katherine W. ;

Briden, Kelleigh E. ;

Neff, Stephen ;

Ruscher, Kimberly A. ;

Hagadorn, James I. .

PEDIATRICS, 2014, 134 (02) :E420-E426

[5] Characteristics of patients who die of necrotizing enterocolitis [J].

Clark, R. H. ;

Gordon, P. ;

Walker, W. M. ;

Laughon, M. ;

Smith, P. B. ;

Spitzer, A. R. .

JOURNAL OF PERINATOLOGY, 2012, 32 (03) :199-204

[6] A Multifaceted Approach to Improving Outcomes in the NICU: The Pediatrix 100 000 Babies Campaign [J].

Ellsbury, Dan L. ;

Clark, Reese H. ;

Ursprung, Robert ;

Handler, Darren L. ;

Dodd, Elizabeth D. ;

Spitzer, Alan R. .

PEDIATRICS, 2016, 137 (04)

[7] A Primer on Quality Improvement Methodology in Neonatology [J].

Ellsbury, Dan L. ;

Ursprung, Robert .

CLINICS IN PERINATOLOGY, 2010, 37 (01) :87-+

[8] Off-Label Use of Inhaled Nitric Oxide After Release of NIH Consensus Statement [J].

Ellsworth, Marc A. ;

Harris, Malinda N. ;

Carey, William A. ;

Spitzer, Alan R. ;

Clark, Reese H. .

PEDIATRICS, 2015, 135 (04) :643-648

[9]

Elmekkawi Amir, 2016, Hosp Pediatr, V6, P607

[10] Is Zero Central Line-Associated Bloodstream Infection Rate Sustainable? A 5-Year Perspective [J].

Erdei, Carmina ;

McAvoy, Linda L. ;

Gupta, Munish ;

Pereira, Sunita ;

McGowan, Elisabeth C. .

PEDIATRICS, 2015, 135 (06) :E1485-E1493

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