Journal article
Development of a single-center quality bundle to prevent sudden unexpected postnatal collapse
Journal of perinatology, v 39(7), pp 1008-1013
01 Jul 2019
PMID: 31089255
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
Metrics
Details
- Title
- Development of a single-center quality bundle to prevent sudden unexpected postnatal collapse
- Creators
- David A. Paul - Christiana Care Hlth Syst, Div Neonatol, Dept Pediat, Newark, DE 19711 USADawn Johnson - Christiana Care Health SystemNeal D. Goldstein - Christiana Care Hlth Syst, Div Neonatol, Dept Pediat, Newark, DE 19711 USAStephen A. Pearlman - Christiana Care Health System
- Publication Details
- Journal of perinatology, v 39(7), pp 1008-1013
- Publisher
- Springer Nature
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000472630200014
- Scopus ID
- 2-s2.0-85065912528
- Other Identifier
- 991020100210404721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics