1. Improving preoperative identification of infants at risk for severe retinopathy of prematurity.
- Author
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Torr C, Yoder B, and Beachy J
- Subjects
- Checklist, Humans, Hyperoxia complications, Hyperoxia diagnosis, Infant, Newborn blood, Oxygen blood, Prospective Studies, Quality Improvement, Retinopathy of Prematurity diagnosis, Retinopathy of Prematurity etiology, Risk, Retinopathy of Prematurity prevention & control, Surgical Procedures, Operative adverse effects
- 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 (SpO
2 ) 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 .- Published
- 2019
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