Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization

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Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization. / Liebers, Björn; Ebenebe, Chinedu Ulrich; Wolf, Monika; Blohm, Martin Ernst; Vettorazzi, Eik; Singer, Dominique; Deindl, Philipp.

in: CHILDREN-BASEL, Jahrgang 8, Nr. 12, 1145, 06.12.2021.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{f7fa1c164fdd4a258190d0f0e77d6198,
title = "Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization",
abstract = "Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LISA success rate to at least 75% within 12 months by implementing a highly standardized LISA approach combined with team training. The Plan Do Study Act method of quality improvement was used for this initiative. Baseline assessment included a review of patient medical records 12 months before the intervention regarding patient characteristics, method success rate, respiratory, and adverse outcomes. A multi-professional team developed a standardized LISA approach and a training program including an educational film, checklists, pocket cards, and team briefings. Twenty-one preterm infants received LISA before and 24 after the intervention. The mean LISA success rate improved from 62% before the intervention to 92% (p = 0.029) after the intervention. Implementing a highly standardized LISA approach and multi-professional team training significantly improved the methods' success rate.",
author = "Bj{\"o}rn Liebers and Ebenebe, {Chinedu Ulrich} and Monika Wolf and Blohm, {Martin Ernst} and Eik Vettorazzi and Dominique Singer and Philipp Deindl",
year = "2021",
month = dec,
day = "6",
doi = "10.3390/children8121145",
language = "English",
volume = "8",
journal = "CHILDREN-BASEL",
issn = "2227-9067",
publisher = "MDPI AG",
number = "12",

}

RIS

TY - JOUR

T1 - Improved Less Invasive Surfactant Administration Success in Preterm Infants after Procedure Standardization

AU - Liebers, Björn

AU - Ebenebe, Chinedu Ulrich

AU - Wolf, Monika

AU - Blohm, Martin Ernst

AU - Vettorazzi, Eik

AU - Singer, Dominique

AU - Deindl, Philipp

PY - 2021/12/6

Y1 - 2021/12/6

N2 - Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LISA success rate to at least 75% within 12 months by implementing a highly standardized LISA approach combined with team training. The Plan Do Study Act method of quality improvement was used for this initiative. Baseline assessment included a review of patient medical records 12 months before the intervention regarding patient characteristics, method success rate, respiratory, and adverse outcomes. A multi-professional team developed a standardized LISA approach and a training program including an educational film, checklists, pocket cards, and team briefings. Twenty-one preterm infants received LISA before and 24 after the intervention. The mean LISA success rate improved from 62% before the intervention to 92% (p = 0.029) after the intervention. Implementing a highly standardized LISA approach and multi-professional team training significantly improved the methods' success rate.

AB - Less invasive surfactant administration (LISA) has been introduced at our tertiary Level IV perinatal center since 2016 with an unsatisfactory success rate, which we attributed to an inconsistent, non-standardized approach and ambiguous patient inclusion criteria. This study aimed to improve the LISA success rate to at least 75% within 12 months by implementing a highly standardized LISA approach combined with team training. The Plan Do Study Act method of quality improvement was used for this initiative. Baseline assessment included a review of patient medical records 12 months before the intervention regarding patient characteristics, method success rate, respiratory, and adverse outcomes. A multi-professional team developed a standardized LISA approach and a training program including an educational film, checklists, pocket cards, and team briefings. Twenty-one preterm infants received LISA before and 24 after the intervention. The mean LISA success rate improved from 62% before the intervention to 92% (p = 0.029) after the intervention. Implementing a highly standardized LISA approach and multi-professional team training significantly improved the methods' success rate.

U2 - 10.3390/children8121145

DO - 10.3390/children8121145

M3 - SCORING: Journal article

C2 - 34943341

VL - 8

JO - CHILDREN-BASEL

JF - CHILDREN-BASEL

SN - 2227-9067

IS - 12

M1 - 1145

ER -