Application of PDCA cycle in quality improvement of neonatal resuscitation / 中国新生儿科杂志
Zhi LONG; Qian WANG; Fang WU; Jingjing PAN; Hongai ZHANG; Xueqin QING; Weining MA; Xiaowen WANG; Hongtao XU.
Chinese Journal of Neonatology
; (6): 34-37, 2023.
Artículo
en Zh
| WPRIM | ID: wpr-990723
Objective:
To study the effects of plan-do-check-action (PDCA) cycle in quality improvement of neonatal resuscitation.Methods:
From 2016 to 2020, the clinical data of neonates born in our hospital were analyzed. Neonates born during 2016 to 2017 were pre-PDCA group and neonates born during 2018 to 2020 were post-PDCA group. PDCA quality improvement included step-by-step, high-frequency and low-dose training, strengthening teamwork and adding equipment.Results:
A total of 7 728 live-birth neonates were delivered before PDCA with 319 cases (4.1%) of asphyxia. 10 174 live-birth neonates were delivered after PDCA with 422 cases (4.1%) of asphyxia. The asphyxia rates showed no significant difference between the two groups ( P>0.05). The incidences of severe asphyxia before and after PDCA were both 0.8% without significant difference ( P>0.05). The success rates of resuscitation for severe asphyxia before and after PDCA was 27.9% and 44.9%, respectively, and the differences were statistically significant ( P<0.05). The mortality rates within 7 d before and after PDCA were 0.5‰ and 0.1‰ respectively, without significant differences ( P>0.05).Conclusions:
The implementation of PDCA cycle and step-by-step, high-frequency, low-dose neonatal resuscitation training can effectively improve the success rate of resuscitation in newborns with severe asphyxia.
Biblioteca responsable:
WPRO
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