Sleeping Safe and Sound: A Multidisciplinary Hospital-wide Infant Safe Sleep Quality Improvement Initiative.
J Pediatr Health Care
; 38(4): 604-614, 2024.
Article
em En
| MEDLINE
| ID: mdl-38647508
ABSTRACT
INTRODUCTION:
Promoting safe sleep to decrease sudden unexpected infant death is challenging in the hospital setting. LOCALPROBLEM:
Concern for adherence to safe sleep practice across inpatient units at a large pediatric hospital.METHODS:
Used quality improvement methodologies to promote safe sleep across all units.INTERVENTIONS:
Development of a multidisciplinary expert group, hospital-wide guidelines, targeted interventions, and bedside audits to track progress.RESULTS:
Adherence to safe sleep practices improved from 9% to 53%. Objects in the crib were a major barrier to maintaining a safe sleep environment. Safe sleep practices were less likely to be observed in infants with increased medical complexity (p = .027).CONCLUSIONS:
Quality improvement methodology improved adherence to infant safe sleep guidelines across multiple units. Medically complex infants continue to be a challenge to safe sleep. Therefore, ongoing education for staff and further research into best practices for the most complex infant populations are necessary.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Morte Súbita do Lactente
/
Fidelidade a Diretrizes
/
Melhoria de Qualidade
/
Hospitais Pediátricos
Limite:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article