Quality Improvement, An Issue of Clinics in Perinatology

1st Edition, Volume 50-2 - May 19, 2023
Editors: Heather C. Kaplan, Mushish Gupta
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 9 6 0 5 0 - 2
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 9 6 0 5 1 - 9

In this issue of Clinics in Perinatology, guest editors Drs. Heather C. Kaplan and Munish Gupta bring their considerable expertise to the topic of Quality Improvement. In recent… Read more

Quality Improvement, An Issue of Clinics in Perinatology

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In this issue of Clinics in Perinatology, guest editors Drs. Heather C. Kaplan and Munish Gupta bring their considerable expertise to the topic of Quality Improvement. In recent years, the growing use of quality improvement (QI) methods to apply evidence-based practices to clinical care has resulted in a greater penetration of QI methods in neonatal intensive care units across the world and a more sophisticated appreciation of how best to use them. This issue provides important updates in these areas as well as looks at the future of QI in perinatology.

Cover image
Title page
Table of Contents
Copyright
Contributors
CME Accreditation Page
Forthcoming Issues
Foreword
Preface
Common Quality Improvement Methodologies Including the Model for Improvement, Lean, and Six Sigma
Key points
Introduction
Summary
Disclosure
Sustaining Improvement Initiatives: Challenges and Potential Tools
Key points
Introduction
Definition
Sustainability models, frameworks, and tools
To summarize this section, we will answer two questions
Summary
Disclosure
Challenging Cases in Statistical Process Control for Quality Improvement in Neonatal Intensive Care
Key points
Introduction
Control charts for highly skewed continuous data
Autocorrelated data
Detecting small process changes
Addressing confounders and covariates in control charts
Discrete data treated as continuous
Summary
Disclosure
Integrating Implementation Science with Quality Improvement to Improve Perinatal Outcomes
Key points
Introduction
An overview of implementation science concepts for quality improvement practitioners in perinatology
A vision for integrating implementation science with perinatal quality improvement
Integrating implementation science with perinatal quality improvement: steps for QI practitioners
Integrating implementation science with perinatal quality improvement: steps for implementation scientists
Summary
Developing a Respiratory Quality Improvement Program to Prevent and Treat Bronchopulmonary Dysplasia in the Neonatal Intensive Care Unit
Key points
Introduction
Key components for building a respiratory quality improvement program
Key drivers of bronchopulmonary dysplasia and potential interventions
Quality improvement for infants with established severe bronchopulmonary dysplasia
How to begin a quality improvement program targeting bronchopulmonary dysplasia
Summary
Disclosure
Next Steps for Health Care-Associated Infections in the Neonatal Intensive Care Unit
Key points
Introduction
Specific pathogens
Summary
Disclosure
All Care is Brain Care: Neuro-Focused Quality Improvement in the Neonatal Intensive Care Unit
Key points
Introduction
Prevention of acquired injury
Protection of normal maturation
Promotion of positive environment
Summary
Disclosure
The Evolution of Neonatal Patient Safety
Key points
Introduction
Definitions and concepts
Current state
Neonatal patient safety in evolution
Summary
Disclosure
How Design Thinking and Quality Improvement Can Be Integrated into a “Human-Centered Quality Improvement” Approach to Solve Problems in Perinatology
Key points
Background
Design thinking framework
Design thinking tools
Examples of design thinking in neonatal-perinatal medicine
Recommendation for using a “human-centered quality improvement” approach
Summary
Declaration of interests
Improving Neonatal Intensive Care Unit Quality and Safety with Family-Centered Care
Key points
Introduction
Family-centered care principles, constructs, and concepts
Family-centered care models and interventions
Current state of family-staff partnership and family-centered care practice
Quality improvement strategies for family-centered care
Summary
Best practices
Declaration of interests
The Electronic Health Record as a Quality Improvement Tool: Exceptional Potential with Special Considerations
Key points
Introduction
Building the necessary team
Incorporating electronic health record-based interventions in quality improvement projects
Using the electronic health record for quality improvement data capture and measurement
Consideration of unintended consequences
Summary
Clinics care points
Disclosure
Using Quality Improvement to Improve Value and Reduce Waste
Key points
What is value?
Why should the neonatologist care about value?
Incorporating value and cost into traditional quality improvement
Cost measures in quality improvement
Overuse/misuse of neonatal intensive care
Overuse of potentially unnecessary tests and treatments
Summary
Clinics care points
Declaration of interests
Recent Progress in Neonatal Global Health Quality Improvement
Key points
Introduction
Lessons learned from Helping Babies Breathe
Essential newborn care now!
Metrics for evaluating essential newborn care
Quality improvement resources
Telementoring initiatives
Transcending quality improvement to implementation science in perinatal health
Summary
Clinics care points
Disclosures
Measuring Equity for Quality Improvement
Key points
Background
Best practices
Clinics care points
Declaration of Interests

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Heather C. Kaplan

Mushish Gupta