Tag Archives: quality improvement

Challenges in reducing central line-associated bloodstream infections in a tertiary neonatal unit: an ongoing quality improvement project

Central line-associated bloodstream infections (CLABSI) in neonates can lead to increased mortality risk, prolonged neonatal intensive care unit stays, increased costs of care and poor neurodevelopmental outcomes. The potential cause and effect relationships for CLABSI were studied by the neonatal … Continue reading

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Sepsis and central line-associated neonatal infection: a care bundle QI project

Neonatal late-onset sepsis (LOS) is a significant cause of mortality and morbidity within neonatal units. These infections are often associated with the insertion and use of central lines. Data from 2017 identified the local neonatal unit at Gloucestershire Hospitals NHS … Continue reading

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Implementation of the Neonatal Sepsis Calculator in Early-Onset Sepsis and Maternal Chorioamnionitis

Utilization of the neonatal sepsis calculator published by Kaiser Permanente is rapidly increasing. This freely available online tool can be used in assessment of early-onset sepsis (EOS) in newborns 34 weeks’ gestation or more based on maternal risk factors and … Continue reading

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Use of Potassium Hydroxide (KOH) Test Reduces Antifungal Medication Prescription for Suspected Monilial Diaper Dermatitis in the Neonatal Intensive Care Unit: A Quality Improvement Project

Despite availability of rapid fungal potassium hydroxide (KOH) tests, many care providers rely on visual assessment to determine the diagnosis of monilial diaper dermatitis (MDD). The purpose of this quality improvement project was to determine whether a KOH test, when … Continue reading

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Evaluation of Key Factors Impacting Feeding Safety in the Neonatal Intensive Care Unit: A Systematic Review

Individualized feeding care plans and safe handling of milk (human or formula) are critical in promoting growth, immune function, and neurodevelopment in the preterm infant. Feeding errors and disruptions or limitations to feeding processes in the neonatal intensive care unit … Continue reading

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BAPM’s Neonatal Service Quality Indicators – what are they and how should they be used?

The new publication Neonatal Service Quality Indicators: Standards Relating to Structures and Processes Supporting Quality and Patient Safety in Neonatal Services by the British Association of Perinatal Medicine (BAPM) aims to help healthcare professionals by addressing the question: with regard … Continue reading

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Quality Improvement Project to Reduce Delayed Vaccinations in Preterm Infants

The goal of this quality improvement project was to improve on time vaccinations of preterm infants hospitalized in the neonatal intensive care unit.  The Plan-Do-Study-Act model of quality improvement was adopted to develop, test, and implement interventions aimed at improving … Continue reading

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Comparison of three different methods for risk adjustment in neonatal medicine

Quality improvement in health care requires identification of areas in need of improvement by comparing processes and patient outcomes within and between health care providers. It is critical to adjust for different case-mix and outcome risks of patient populations but … Continue reading

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Each Baby Counts: halving the incidence of stillbirth, neonatal death and severe brain injury by 2020

Each Baby Counts is the Royal College of Obstetricians and Gynaecologists’ (RCOG) national quality improvement programme, which aims to reduce intrapartum stillbirth, early neonatal death and severe brain injury at term by 50% by 2020. All Trusts in the UK … Continue reading

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