Abstract
Objective
To increase preoperative identification of at-risk infants for severe Retinopathy of prematurity (ROP) to >95% by August 2016, with a secondary aim of reducing the number of infants with 100% intraoperative peripheral oxygen saturation (SpO2) during the same time.
Study design
Prospective quality improvement project centered on preterm surgical infants admitted to Primary Children’s Hospital (n = 41). Preoperative ROP risk identification rates were analyzed using an annotated run chart, intraoperative SpO2 and laser intervention were compared using un-paired t test.
Results
Preoperative identification of ROP risk increased from 60 to 100% and no infant was exposed to 100% SpO2 intraoperatively during the study period. The incidence of laser intervention in this population decreased by 45% from 22 to 12% (p = 0.21).
Conclusion
Simplifying our preoperative handoff increased our rates of correct identification and communication ROP risk in preterm infants while decreasing exposure to 100% SpO2.
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Torr, C., Yoder, B. & Beachy, J. Improving preoperative identification of infants at risk for severe retinopathy of prematurity. J Perinatol 39, 1309–1314 (2019). https://doi.org/10.1038/s41372-019-0383-0
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DOI: https://doi.org/10.1038/s41372-019-0383-0