Revisions of clinical protocols using the Plan Do Check Act cycle improved outcomes of extremely preterm infants at 2 years.

ABSTRACT:

Aim

Clinical quality improvement is often cumbersome due to established protocols. We aimed to investigate whether outcomes of preterm infants improve with protocol revisions using iteration cycles.

Methods

Preterm infants born <28 weeks gestation between January 2006 and December 2015 were retrospectively analysed. Protocols were revised using Plan Do Check Act cycle. Death and serious adverse events at term were reviewed in six-monthly quality improvement meetings. Adverse outcome of death or motor/sensory impairments at two years was compared before and after two major protocol changes, which were implemented in January 2008 and January 2012.

Results

Based on the appraisal for period 2006-2007, strategies for surfactant, narcotics, parenteral nutrition, respiratory

SUBMITTER: Saikusa M 

PROVIDER: S-EPMC8360062 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature