Increasing Premedication for Neonatal Intubation: A Quality Improvement Initiative DOI Creative Commons
Michelle H. Lucena,

Toshiba Morgan‐Joseph,

Alecia Thompson-Branch

et al.

Pediatric Quality and Safety, Journal Year: 2024, Volume and Issue: 10(1), P. e778 - e778

Published: Dec. 24, 2024

Introduction: Endotracheal intubation is frequent in the neonatal intensive care unit (NICU) but may result distress and instability. Premedication reduces adverse effects, such as hypoxia, bradycardia, pain. The Specific, Measurable, Achievable, Relevant Time-Bound aim for this project was to increase premedication use nonemergent a specific NICU from 22% 80% March 2021 May 2023. Methods: We quality improvement methodology explain our theory improvement. Our key driver diagram depicts initiative’s aims, drivers, interventions intubation. defined exclusion criteria medications, one author collected demographic data retrospectively after procedure. stakeholders summarized baseline data, performed plan-do-study-act cycles, showed outcome measures statistical process control chart. Statistical analysis used Fisher’s exact test compare categorical variables. Results: Between 2023, 333 infants underwent endotracheal intubation; 130 were included. most common indication hypoxemic respiratory failure—52% (68/130). increased 52%. Among criteria, nonpremedication delivery room, 38.4% (78/203). In group, on first attempt occurred 77.6% (52/67) of cases, versus 66.7% (32/48) ( P = 0.3). Conclusions: by 30%, although we did not reach desired goal. Establishing bundle, alongside unit-specific protocol effective teamwork, marks initial stride toward enhancing analgesia/sedation practices NICU.

Language: Английский

A Quality Improvement Initiative to Increase Skin-to-Skin Care and Positive Parent Touch DOI

Rachelle Sey,

Katherine Coughlin

Neonatal Network The Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 44(2), P. 83 - 93

Published: April 1, 2025

Language: Английский

Citations

0
Increasing Premedication for Neonatal Intubation: A Quality Improvement Initiative DOI Creative Commons
Michelle H. Lucena,

Toshiba Morgan‐Joseph,

Alecia Thompson-Branch

et al.

Pediatric Quality and Safety, Journal Year: 2024, Volume and Issue: 10(1), P. e778 - e778

Published: Dec. 24, 2024

Introduction: Endotracheal intubation is frequent in the neonatal intensive care unit (NICU) but may result distress and instability. Premedication reduces adverse effects, such as hypoxia, bradycardia, pain. The Specific, Measurable, Achievable, Relevant Time-Bound aim for this project was to increase premedication use nonemergent a specific NICU from 22% 80% March 2021 May 2023. Methods: We quality improvement methodology explain our theory improvement. Our key driver diagram depicts initiative’s aims, drivers, interventions intubation. defined exclusion criteria medications, one author collected demographic data retrospectively after procedure. stakeholders summarized baseline data, performed plan-do-study-act cycles, showed outcome measures statistical process control chart. Statistical analysis used Fisher’s exact test compare categorical variables. Results: Between 2023, 333 infants underwent endotracheal intubation; 130 were included. most common indication hypoxemic respiratory failure—52% (68/130). increased 52%. Among criteria, nonpremedication delivery room, 38.4% (78/203). In group, on first attempt occurred 77.6% (52/67) of cases, versus 66.7% (32/48) ( P = 0.3). Conclusions: by 30%, although we did not reach desired goal. Establishing bundle, alongside unit-specific protocol effective teamwork, marks initial stride toward enhancing analgesia/sedation practices NICU.

Language: Английский

Citations

0