Decreasing radiographs in neonates through targeted quality improvement interventions.
J Perinatol
; 40(2): 330-336, 2020 02.
Article
en En
| MEDLINE
| ID: mdl-31844185
ABSTRACT
OBJECTIVE:
Our aim was to decrease radiograph use for monitoring placement of peripherally inserted central catheters (PICC) and endotracheal tubes (ETT) in neonates admitted to the neonatal intensive care unit (NICU) by 20% from November 2017 to November 2018. STUDYDESIGN:
We carried out three Plan-Do-Study-Act (PDSA) cycles (1) implementation of a radiograph protocol emphasizing ideal patient positioning, standard radiograph views and frequency, (2) standardizing ETT depth using the NRP guidelines, and (3) implementation of an institution specific ETT depth guideline.RESULTS:
The pre-intervention radiographs per PICC day was 0.86 versus a post-intervention value of 0.46 (P = 0.004). The pre-intervention radiographs per ETT day was 1.45 versus a post-intervention value of 1.07 (P = 0.002).CONCLUSIONS:
Our multidisciplinary NICU team performed a QI project, which resulted in more than a 20% decrease in the number of radiographs used for monitoring placement of PICCs and ETTs.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Cateterismo Periférico
/
Radiografía
/
Mejoramiento de la Calidad
/
Intubación Intratraqueal
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Humans
/
Newborn
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos