A multidisciplinary quality improvement effort to reduce bronchopulmonary dysplasia incidence.

Content Provider	Europe PMC
Author	Bapat, Roopali Nelin, Leif Shepherd, Edward Ryshen, Greg Elgin, Amee Bartman, Thomas
Abstract	BackgroundBronchopulmonary Dysplasia (BPD) is the most common prematurity complication. Although several practices have been proposed for BPD prevention, none of these in isolation prevent BPD.MethodsOur initiative focused on two key drivers: oxygen management and noninvasive ventilation strategies. We created best practice guidelines and followed outcome measures using Shewhart control charts.ResultsPDSAs of protocols preceded a large-scale rollout of a “0.21 by 28” campaign in 2014 leading to a special cause reduction in the “any BPD” rate, and a decrease in severe BPD (from 57 to 29%). At the end of 2017, we reinvigorated the project, which led to dramatic decreases in the “any BPD” rate to 41% and the “severe BPD” rate to 21%.ConclusionsA multidisciplinary QI initiative focused on process improvement geared towards the pathophysiological contributors of BPD has successfully reduced the rate of BPD in an all referral level IV NICU.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7223819&blobtype=pdf
ISSN	07438346
Journal	Journal of Perinatology [J Perinatol]
Volume Number	40
DOI	10.1038/s41372-019-0574-8
PubMed Central reference number	PMC7223819
Issue Number	4
PubMed reference number	31907398
e-ISSN	14765543
Language	English
Publisher	Nature Publishing Group US
Publisher Date	2020-01-06
Publisher Place	New York
Access Restriction	Open
Rights License	This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. © Springer Nature America, Inc. 2020
Subject Keyword	Paediatrics Health care
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology