Guideline-based educational intervention to decrease the risk for readmission of newborns with severe hyperbilirubinemia.
J Pediatr Health Care
; 27(1): 41-50, 2013 Jan.
Article
de En
| MEDLINE
| ID: mdl-23237615
ABSTRACT
INTRODUCTION:
The purpose of this study was to determine if educational intervention with medical providers in combination with a management tool to facilitate clinical guideline usage would (a) increase quality of care, (b) increase compliance with published guidelines, and (c) decrease hospital readmissions as a result of hyperbilirubinemia in the first week of life.METHOD:
A quality improvement initiative was undertaken with a preintervention/postintervention design. INTERVENTION An educational intervention was offered to persons who provide medical care to newborns. The charts of newborns were reviewed before and after the intervention in three samples a care quality sample (N = 244), a compliance sample (N = 240), and a readmission sample.RESULTS:
In the quality care sample, documentation of three quality care indicators improved significantly and one worsened significantly. In the compliance sample, the percentage of infants who were given appropriate follow-up appointments in primary care based on their hyperbilirubinemia risk at discharge improved (p = .03), and the readmission rate of newborns within the first week of life as a result of hyperbilirubinemia decreased by 50%.DISCUSSION:
An educational intervention with a clinical tool may help change provider practice. Longer follow-up is needed to determine if the impact is sustainable.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Réadmission du patient
/
Éducation du patient comme sujet
/
Hyperbilirubinémie
Type d'étude:
Etiology_studies
/
Guideline
/
Qualitative_research
/
Risk_factors_studies
Limites:
Humans
/
Newborn
Langue:
En
Journal:
J Pediatr Health Care
Sujet du journal:
ENFERMAGEM
/
PEDIATRIA
/
SERVICOS DE SAUDE
Année:
2013
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique