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/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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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 -