Impact of a dedicated neonatal stabilization room and process changes on stabilization time

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Abstract

Objective:

Our objective was to evaluate the impact of a dedicated resuscitation and stabilization (RAS) room and process changes on infant stabilization time.

Study Design:

A prospective quality improvement study was conducted on preterm infants in a tertiary care center. A dedicated RAS room, preresuscitation huddle, infant–isolette–ventilator pairing and improved documentation were implemented. The primary outcome was median time to stabilization and secondary outcomes were illness severity on day 1 and morbidity at discharge.

Results:

A sustained reduction in median time to stabilization from 90 min in the preimplementation phase to 72 min in the sustainability phase was observed. All planned and iterative process changes were integrated into the RAS team’s daily routine. Time to completion of procedures decreased, illness severity and morbidity remained unchanged.

Conclusion:

A dedicated RAS room adjacent to the delivery suite in conjunction with process changes improves efficiency of care.

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Acknowledgements

We thank the NICU staff for participating and taking ownership during the implementation of the initiative and changing their practices during resuscitation and stabilization. We thank all the neonatologists for supporting this project. We also thank the database manager Wendy Seidlitz for providing the data and David Pogorzelski for collecting data during the preimplementation phase. This study was funded by Hamilton Health Sciences Centre for Healthcare Optimization, Research and Delivery.

Author information

Correspondence to S Shivananda.

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The authors declare no conflict of interest.

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Supplementary Information accompanies the paper on the Journal of Perinatology website

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