在四级新生儿重症监护病房对早产儿进行早期肠内喂养的质量改进措施。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS Nutrition in Clinical Practice Pub Date : 2024-11-01 DOI:10.1002/ncp.11236
Usha Prasad, Kendall Johnson, Stephanie McGuire, Kathleen Haines, Annmarie Spizzoucco, Shabnam Lainwala
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引用次数: 0

摘要

目标:我们报告了一项质量改进计划的成果,该计划旨在将四级新生儿重症监护病房(NICU)中早产儿完全肠内喂养的时间以及中心管路和肠外营养的天数减少 20%:2020 年,我们新生儿重症监护室的一个多学科团队启动了一项质量改进项目,以改善出生体重不足婴儿的肠内喂养:在实现完全肠内喂养的时间、中心管天数和肠外营养天数方面发现了特殊原因差异,改善率分别为 30%、44% 和 42%。喂养不耐受或坏死性小肠结肠炎的发生率没有增加:结论:喂养指南流程的微小改变改善了早产儿的肠内喂养,同时不会增加发病率。我们的流程措施实用且易于在大多数新生儿重症监护室环境中实施。
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Quality improvement initiative to achieve early enteral feeds in preterm infants at a level IV neonatal intensive care unit.

Objective: We report the results of a quality improvement initiative to reduce the time to full enteral feeds and number of central line and parenteral nutrition days in premature infants in a level IV neonatal intensive care unit (NICU) by 20%.

Study design: In 2020, a multidisciplinary team at our NICU initiated a quality improvement project to improve enteral feeding in infants with a birthweight <1800 g. The key drivers were early donor human milk consent, trophic feeds initiation, and modification of the enteral feeding guidelines. The interventions included prenatal donor human milk consents, mandatory staff education, and NICU newsletter reminders. Retrospective baseline data were collected May 1, 2020, to November 23, 2020, and prospective data were collected November 24, 2020, to September 30, 2022.

Results: Special cause variation was detected for time to achieve full enteral feeds, central line days, and parenteral nutrition days with 30%, 44%, and 42% improvements, respectively. There was no increase in feeding intolerance or necrotizing enterocolitis.

Conclusion: Small changes in feeding guideline processes improved enteral feedings in preterm infants without increase in morbidities. Our process measures are practical and easy to implement in most NICU settings.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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