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Objective <p>To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months.</p> Population <p>All infants born less than 30 gestational weeks.</p> Methods <p>Targeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 – April 2024.</p> Outcome measures <p>A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation.</p> Results <p>The rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in the intervention period.</p> Conclusion <p>Standardization of care using a sIVH prevention bundle was instrumental in the success of this project.</p>

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Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by implementation of a care bundle

  • 期刊论文

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  • 发表日期：

    2025年3月27日

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  • Samantha D. Peltola,
  • Uduak S. Akpan,
  • Dmitry Tumin,
  • Penni Huffman

摘要

Objective

To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months.

Population

All infants born less than 30 gestational weeks.

Methods

Targeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 – April 2024.

Outcome measures

A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation.

Results

The rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in the intervention period.

Conclusion

Standardization of care using a sIVH prevention bundle was instrumental in the success of this project.