Multidisciplinary evidence-based tools for improving consistency of care and neonatal nutrition

Background Extrauterine growth restriction from inadequate nutrition remains a significant morbidity in very low birth weight infants. Participants in the California Perinatal Quality Care Collaborative Quality Improvement Collaborative, Grow, Babies, Grow! developed or refined tools to improve nutr...

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Veröffentlicht in:Journal of perinatology 2024-05, Vol.44 (5), p.751-759
Hauptverfasser: Morris, Mindy, Bennett, Stacie, Drake, Liz, Hetherton, Maria C., Clifton-Koeppel, Robin, Schroeder, Holly, Breault, Courtney, Larson, Kimberly
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Sprache:eng
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Zusammenfassung:Background Extrauterine growth restriction from inadequate nutrition remains a significant morbidity in very low birth weight infants. Participants in the California Perinatal Quality Care Collaborative Quality Improvement Collaborative, Grow, Babies, Grow! developed or refined tools to improve nutrition and reduce practice variation. Method Five Neonatal Intensive Care Units describe the development and implementation of nutrition tools. Tools include Parenteral Nutrition Guidelines, Automated Feeding Protocol, electronic medical record Order Set, Nutrition Time-Out Rounding Tool, and a Discharge Nutrition Recommendations. 15 of 22 participant sites completed a survey regarding tool value and implementation. Results Reduced growth failure at discharge was observed in four of five NICUs, 11–32% improvement. Tools assisted with earlier TPN initiation (8 h) and reaching full feeds (2–5 days). TPN support decreased by 5 days. 80% of survey respondents rated the tools as valuable. Conclusion Evidence and consensus-based nutrition tools help promote standardization, leading to improved and sustainable outcomes.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-024-01963-x