Research Article
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Abstract
Purpose
To evaluate the effect of a bundled intervention on the number of skin-to-skin (“kangaroo care”) events occurring in a level IV NICU.
Design
A quality improvement effort centering around the introduction of an intervention bundle intended to safely increase the rate of skin-to-skin holding. Rates of unplanned extubations were recorded as a balancing measure to estimate safety.
Sample
All infants admitted to the NICU from December 2017 through September 2019 were included. The “preintervention” period was the 6 months prior to the initiation of the intervention bundle (December 2017–May 2018).
Results
The absolute number of skin-to-skin holds increased from the preintervention phase (range 7–28 holds/month, median 11 holds/month) to the postintervention phase (range 16–100 holds/month, median 55 holds/month). The total unplanned extubations showed no significant change between the preintervention and postintervention periods.
Period | Abstract | Full | Total | |
---|---|---|---|---|
May 2024 | 84 | 5 | 5 | 94 |
Apr 2024 | 55 | 5 | 3 | 63 |
Mar 2024 | 75 | 2 | 2 | 79 |
Feb 2024 | 68 | 3 | 4 | 75 |
Jan 2024 | 55 | 6 | 4 | 65 |
Dec 2023 | 63 | 2 | 2 | 67 |
Nov 2023 | 35 | 2 | 4 | 41 |
Oct 2023 | 36 | 10 | 4 | 50 |
Sep 2023 | 45 | 8 | 5 | 58 |
Aug 2023 | 28 | 2 | 2 | 32 |
Jul 2023 | 26 | 3 | 3 | 32 |
Jun 2023 | 50 | 4 | 2 | 56 |
May 2023 | 36 | 8 | 4 | 48 |
Apr 2023 | 53 | 1 | 2 | 56 |
Mar 2023 | 92 | 5 | 3 | 100 |
Feb 2023 | 49 | 11 | 15 | 75 |
Jan 2023 | 41 | 5 | 4 | 50 |
Dec 2022 | 27 | 2 | 2 | 31 |
Nov 2022 | 94 | 4 | 3 | 101 |
Oct 2022 | 60 | 10 | 7 | 77 |
Sep 2022 | 79 | 11 | 8 | 98 |
Aug 2022 | 62 | 2 | 1 | 65 |
Jul 2022 | 51 | 4 | 4 | 59 |
Jun 2022 | 111 | 7 | 12 | 130 |
May 2022 | 68 | 6 | 8 | 82 |
Apr 2022 | 98 | 3 | 2 | 103 |
Mar 2022 | 118 | 2 | 3 | 123 |
Feb 2022 | 143 | 12 | 14 | 169 |
Jan 2022 | 403 | 7 | 11 | 421 |
Dec 2021 | 116 | 12 | 7 | 135 |
Nov 2021 | 76 | 12 | 9 | 97 |
Oct 2021 | 90 | 13 | 12 | 115 |
Sep 2021 | 56 | 14 | 11 | 81 |
Aug 2021 | 55 | 7 | 11 | 73 |
Jul 2021 | 96 | 10 | 11 | 117 |
Jun 2021 | 280 | 15 | 11 | 306 |
May 2021 | 1685 | 13 | 17 | 1715 |
Apr 2021 | 2192 | 18 | 14 | 2224 |
Mar 2021 | 1290 | 9 | 15 | 1314 |