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Development of a single-center quality bundle to prevent sudden unexpected postnatal collapse
Journal article   Peer reviewed

Development of a single-center quality bundle to prevent sudden unexpected postnatal collapse

David A. Paul, Dawn Johnson, Neal D. Goldstein and Stephen A. Pearlman
Journal of perinatology, v 39(7), pp 1008-1013
01 Jul 2019
PMID: 31089255

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Pediatrics Science & Technology
Background Recent reports suggest a rising awareness of sudden unexpected postnatal collapse (SUPC). Local problem Five SUPC events during a 17-month period. Methods A multidisciplinary team used a quality-improvement approach to develop the intervention. The smart aim was to develop a bundled intervention to eliminate SUPC from occurring in the delivery room during skin-to-skin care. Intervention A bundled intervention included a standardized assessment tool and measurement of oxygen saturation levels, with prescribed responses to abnormal values, during skin-to-skin care in the delivery room. Results Pre-intervention, there were five SUPC events/9143 live births (incidence 0.54/1000 live births) compared with 0 SUPC events/13,964 live births post intervention, p = 0.011. Special cause variation was achieved after implementation when the number of deliveries between SUPC events exceeded 3-sigma. Conclusion A bundled approach to monitoring during skin-to-skin care, including measurement of oxygen saturation, was associated with no additional cases of SUPC.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Obstetrics & Gynecology
Pediatrics
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