Quality improvement in respiratory care: decreasing bronchopulmonary dysplasia.
Clin Perinatol
; 37(1): 273-93, 2010 Mar.
Article
em En
| MEDLINE
| ID: mdl-20363459
ABSTRACT
Chronic lung disease (CLD) is one of the most common long-term complications in very preterm infants. Bronchopulmonary dysplasia (BPD) is the most common cause of CLD in infancy. Modern neonatal respiratory care has witnessed the emergence of a new BPD that exhibits decreased fibrosis and emphysema, but also decreased alveolar septation, and microvascular development. CLD encompasses the classic and the new BPD, and recognizes that lung injury can occur in term infants who need aggressive ventilatory support and who develop lung injury as a result, and that CLD is a multisystem disease. Controversy exists on whether quality improvement (QI) methods that implement multiple interventions will be effective in limiting pathology with multiple causes. Caution in generalization of QI findings is encouraged. QI methods toward improvement in CLD or any other outcome should be considered as a tool for implementing evidence and studying the effects of change in complex adaptive systems.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
/
Displasia Broncopulmonar
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
Limite:
Humans
/
Newborn
Idioma:
En
Revista:
Clin Perinatol
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos