Finding treasure in the journey: a single center quality improvement bundle to reduce bronchopulmonary dysplasia

期刊论文
发表日期：

2024年11月26日

查看全文

Nichole Adiletta,
Anne Denslow,
Renee Martinez,
Beverly Walti,
Pernilla Fridolfsson,
Julie Rockey,
David Tirol III,
Kim Kierulff,
Kushal Y. Bhakta,
Michel Mikhael

摘要

Background

Reducing bronchopulmonary dysplasia (BPD) utilizing a single intervention has been challenging. The quality improvement (QI) bundle approach may better address BPD multifactorial risk factors.

Methods

A single-center interdisciplinary quality improvement (QI) initiative to enhance respiratory care for preterm infants born less than 30 weeks gestation.

Global aim

To reduce BPD in preterm infants.

SMART aim

Introduce and implement a comprehensive, evidence-based respiratory care bundle within 12 months, targeting areas needing improvement in our practices.

Results

Our preplanned improvement targets were achieved for all process measures. Overall BPD incidence did not change (45% vs. 44.3%). After the QI intervention, inborn infants had a lower BPD rate, though not statistically significant (38.7% vs. 30.3%, p = 0.22), with a significant reduction in grade 1 BPD (24.5% vs. 12.4%, p = 0.032).

Conclusion

Structured interdisciplinary QI work tailored to local settings can improve respiratory care and possibly amend the outcomes of infants at risk for BPD.