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Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital

INTRODUCTION: Sudden unexpected infant deaths are a major problem nationally. We had poor adherence to safe sleep recommendations locally at our institution. Given the significance of this problem, hospital administration at a tertiary children’s hospital tasked a multidisciplinary group of faculty...

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Autores principales: Molina, Adolfo L., Harrison, Meghan, Dye, Candice, Stoops, Christine, Schmit, Erinn O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782121/
https://www.ncbi.nlm.nih.gov/pubmed/35071951
http://dx.doi.org/10.1097/pq9.0000000000000508
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author Molina, Adolfo L.
Harrison, Meghan
Dye, Candice
Stoops, Christine
Schmit, Erinn O.
author_facet Molina, Adolfo L.
Harrison, Meghan
Dye, Candice
Stoops, Christine
Schmit, Erinn O.
author_sort Molina, Adolfo L.
collection PubMed
description INTRODUCTION: Sudden unexpected infant deaths are a major problem nationally. We had poor adherence to safe sleep recommendations locally at our institution. Given the significance of this problem, hospital administration at a tertiary children’s hospital tasked a multidisciplinary group of faculty and staff with improving sleep environments for hospitalized infants. METHODS: Our safe sleep task force implemented targeted interventions using the American Academy of Pediatrics policy statement as the gold standard and based on hospital data to address areas of greatest nonadherence to recommendations. We aimed to improve weekly average adherence to 95% over 12 months. A proportions process control chart (p-chart) tracked average weekly adherence over a 52-week time frame. In addition, we performed Student’s t-testing to evaluate differences in adherence over time. RESULTS: There was a significant improvement in overall adherence to safe sleep recommendations from baseline (M = 70.8%, SD 21.6) to end of study period (M = 94.7%, SD 10.0) [t(427) = −15.1, P ≤ 0.001]. Crib audits with 100% adherence increased from a baseline (M = 0%, SD 0) to the end of the study period M = 70.4%, SD = 46) [t(381)= −21.4, P ≤ 0.001]. This resulted in two trend shifts on the p-chart using Institute for Healthcare Improvement control chart rules. CONCLUSIONS: Targeted interventions using QI methodology led to significant increases in adherence to safe sleep guidelines. Notable improvements in behavior indicated significant changes in safe sleep culture. We also noted continued adherence in follow-up audits reflecting sustainability.
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spelling pubmed-87821212022-01-21 Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital Molina, Adolfo L. Harrison, Meghan Dye, Candice Stoops, Christine Schmit, Erinn O. Pediatr Qual Saf Individual QI projects from single institutions INTRODUCTION: Sudden unexpected infant deaths are a major problem nationally. We had poor adherence to safe sleep recommendations locally at our institution. Given the significance of this problem, hospital administration at a tertiary children’s hospital tasked a multidisciplinary group of faculty and staff with improving sleep environments for hospitalized infants. METHODS: Our safe sleep task force implemented targeted interventions using the American Academy of Pediatrics policy statement as the gold standard and based on hospital data to address areas of greatest nonadherence to recommendations. We aimed to improve weekly average adherence to 95% over 12 months. A proportions process control chart (p-chart) tracked average weekly adherence over a 52-week time frame. In addition, we performed Student’s t-testing to evaluate differences in adherence over time. RESULTS: There was a significant improvement in overall adherence to safe sleep recommendations from baseline (M = 70.8%, SD 21.6) to end of study period (M = 94.7%, SD 10.0) [t(427) = −15.1, P ≤ 0.001]. Crib audits with 100% adherence increased from a baseline (M = 0%, SD 0) to the end of the study period M = 70.4%, SD = 46) [t(381)= −21.4, P ≤ 0.001]. This resulted in two trend shifts on the p-chart using Institute for Healthcare Improvement control chart rules. CONCLUSIONS: Targeted interventions using QI methodology led to significant increases in adherence to safe sleep guidelines. Notable improvements in behavior indicated significant changes in safe sleep culture. We also noted continued adherence in follow-up audits reflecting sustainability. Lippincott Williams & Wilkins 2022-01-21 /pmc/articles/PMC8782121/ /pubmed/35071951 http://dx.doi.org/10.1097/pq9.0000000000000508 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Individual QI projects from single institutions
Molina, Adolfo L.
Harrison, Meghan
Dye, Candice
Stoops, Christine
Schmit, Erinn O.
Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title_full Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title_fullStr Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title_full_unstemmed Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title_short Improving Adherence to Safe Sleep Guidelines for Hospitalized Infants at a Children’s Hospital
title_sort improving adherence to safe sleep guidelines for hospitalized infants at a children’s hospital
topic Individual QI projects from single institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8782121/
https://www.ncbi.nlm.nih.gov/pubmed/35071951
http://dx.doi.org/10.1097/pq9.0000000000000508
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