Feasibility, Sustainability, and Effectiveness of the Implementation of "Facility-Team-Driven" Approach for Improving the Quality of Newborn Care in South India
© 2023. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation..
OBJECTIVES: The primary objective of the study was to assess the feasibility and sustainability of the implementation of the point of care quality improvement (POCQI) methodology for improving the quality of neonatal care at the level 2 special newborn care unit (SNCU). Additional objective was to evaluate the effectiveness of the quality improvement (QI) and preterm baby package training model.
METHODS: This study was conducted in a level-II SNCU. The study period was divided into baseline; intervention and sustenance phases. The primary outcome i.e., feasibility was defined as completion of training for 80% or more health care professionals (HCPs) through workshops, their attendance in subsequent review meetings and, successful accomplishment of at least two plan-do-study-act (PDSA) cycles in each project.
RESULTS: Of the total, 1217 neonates were enrolled during the 14 mo study period; 80 neonates in the baseline, 1019 in intervention and 118 in sustenance phases. Feasibility of training was achieved within a month of initiation of intervention phase; 22/24 (92%) nurses and 14/15 (93%) doctors attended the meetings. The outcomes of individual projects suggested an improvement in proportion of neonates being given exclusive breast milk on day 5 (22.8% to 78%); mean difference (95% CI) [55.2 (46.5 to 63.9)]. Neonates on any antibiotics declined, proportion of any enteral feeds on day one and duration of kangaroo mother care (KMC) increased. Proportion of neonates receiving intravenous fluids during phototherapy decreased.
CONCLUSIONS: The present study demonstrates the feasibility, sustainability, and effectiveness of a facility-team-driven QI approach augmented with capacity building and post-training supportive supervision.
| Errataetall: |
CommentIn: Indian J Pediatr. 2023 Oct;90(10):957-958. - PMID 37548844 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:90 |
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| Enthalten in: |
Indian journal of pediatrics - 90(2023), 10 vom: 03. Okt., Seite 974-981 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Venugopal, S [VerfasserIn] |
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| Links: |
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| Themen: |
Effectiveness |
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| Anmerkungen: |
Date Completed 14.09.2023 Date Revised 06.11.2023 published: Print-Electronic CommentIn: Indian J Pediatr. 2023 Oct;90(10):957-958. - PMID 37548844 Citation Status MEDLINE |
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| doi: |
10.1007/s12098-023-04518-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Venugopal, S |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Feasibility, Sustainability, and Effectiveness of the Implementation of "Facility-Team-Driven" Approach for Improving the Quality of Newborn Care in South India |
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| 500 | |a Date Completed 14.09.2023 | ||
| 500 | |a Date Revised 06.11.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Indian J Pediatr. 2023 Oct;90(10):957-958. - PMID 37548844 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation. | ||
| 520 | |a OBJECTIVES: The primary objective of the study was to assess the feasibility and sustainability of the implementation of the point of care quality improvement (POCQI) methodology for improving the quality of neonatal care at the level 2 special newborn care unit (SNCU). Additional objective was to evaluate the effectiveness of the quality improvement (QI) and preterm baby package training model | ||
| 520 | |a METHODS: This study was conducted in a level-II SNCU. The study period was divided into baseline; intervention and sustenance phases. The primary outcome i.e., feasibility was defined as completion of training for 80% or more health care professionals (HCPs) through workshops, their attendance in subsequent review meetings and, successful accomplishment of at least two plan-do-study-act (PDSA) cycles in each project | ||
| 520 | |a RESULTS: Of the total, 1217 neonates were enrolled during the 14 mo study period; 80 neonates in the baseline, 1019 in intervention and 118 in sustenance phases. Feasibility of training was achieved within a month of initiation of intervention phase; 22/24 (92%) nurses and 14/15 (93%) doctors attended the meetings. The outcomes of individual projects suggested an improvement in proportion of neonates being given exclusive breast milk on day 5 (22.8% to 78%); mean difference (95% CI) [55.2 (46.5 to 63.9)]. Neonates on any antibiotics declined, proportion of any enteral feeds on day one and duration of kangaroo mother care (KMC) increased. Proportion of neonates receiving intravenous fluids during phototherapy decreased | ||
| 520 | |a CONCLUSIONS: The present study demonstrates the feasibility, sustainability, and effectiveness of a facility-team-driven QI approach augmented with capacity building and post-training supportive supervision | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Effectiveness | |
| 650 | 4 | |a Feasibility | |
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| 650 | 4 | |a PDSA Cycles | |
| 650 | 4 | |a Quality Improvement | |
| 650 | 4 | |a Sustainability | |
| 700 | 1 | |a Patil, Ravindra B |e verfasserin |4 aut | |
| 700 | 1 | |a Thukral, Anu |e verfasserin |4 aut | |
| 700 | 1 | |a Koganti, Raja Ashok |e verfasserin |4 aut | |
| 700 | 1 | |a Kumar Dl, Vasanth |e verfasserin |4 aut | |
| 700 | 1 | |a Sankar, M Jeeva |e verfasserin |4 aut | |
| 700 | 1 | |a Agarwal, Ramesh |e verfasserin |4 aut | |
| 700 | 1 | |a Verma, Ankit |e verfasserin |4 aut | |
| 700 | 1 | |a Deorari, Ashok K |e verfasserin |4 aut | |
| 700 | 0 | |a Team Shimoga Medical College |e verfasserin |4 aut | |
| 700 | 1 | |a Swamy, Manjunatha |e investigator |4 oth | |
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| 700 | 1 | |a Benekanal, Shree Shail |e investigator |4 oth | |
| 700 | 1 | |a Lakshmi, Vijaya |e investigator |4 oth | |
| 700 | 1 | |a Cheluvaraj, Sunitha P |e investigator |4 oth | |
| 700 | 1 | |a Shivasharana, Bhimaraya |e investigator |4 oth | |
| 700 | 1 | |a Murigendarappa, Veeresh Santebennure |e investigator |4 oth | |
| 700 | 1 | |a Muddappagowda, Manoj Gendal |e investigator |4 oth | |
| 700 | 1 | |a Rao, Anjana |e investigator |4 oth | |
| 700 | 1 | |a Gowdru, Vikas Kagathur |e investigator |4 oth | |
| 700 | 1 | |a Harishchandra, Chaitra |e investigator |4 oth | |
| 700 | 1 | |a Attigeri, Akkamma Muttappa |e investigator |4 oth | |
| 700 | 1 | |a Eshwar, Shruthy |e investigator |4 oth | |
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