Developing a Unit-Based Quality Improvement Program in a Large Neonatal ICU.
Jt Comm J Qual Patient Saf
; 47(10): 654-662, 2021 10.
Article
en En
| MEDLINE
| ID: mdl-34284954
ABSTRACT
BACKGROUND:
Quality improvement (QI) methods have been widely adopted in health care. Although theoretical frameworks and models for organizing successful QI programs have been described, few reports have provided practical examples to link existing QI theory to building a unit-based QI program. The purpose of this report is to describe the authors' experience in building QI infrastructure in a large neonatal ICU (NICU).METHODS:
A unit-based QI program was developed with the goal of fostering the growth of high-functioning QI teams. This program was based on six pillars shared vision for QI, QI team capacity, QI team capability, actionable data for improvement, culture of improvement, and QI team integration with external collaboratives. Multiple interventions were developed, including a QI dashboard to align NICU metrics with unit and hospital quality goals, formal training for QI leaders, QI coaches imbedded in project teams, a day-long QI educational workshop to introduce QI methodology to unit staff, and a secure, Web-based QI data infrastructure.RESULTS:
Over a five-year period, this QI infrastructure brought organization and support for individual QI project teams and improved patient outcomes in the unit. Two case studies are presented, describing teams that used support from the QI infrastructure. The Infection Prevention team reduced central line-associated bloodstream infections from 0.89 to 0.36 infections per 1,000 central line-days. The Nutrition team decreased the percentage of very low birth weight infants discharged with weights less than the 10th percentile from 51% to 40%.CONCLUSION:
The clinicians provide a pragmatic example of incorporating QI organizational and contextual theory into practice to support the development of high-functioning QI teams and build a unit-based QI program.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Unidades de Cuidado Intensivo Neonatal
/
Mejoramiento de la Calidad
Límite:
Humans
/
Newborn
Idioma:
En
Revista:
Jt Comm J Qual Patient Saf
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2021
Tipo del documento:
Article