Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by implementation of a care bundle.

ABSTRACT:

Objective

To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months.

Population

All infants born less than 30 gestational weeks.

Methods

Targeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 - April 2024.

Outcome measures

A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation.

Results

The rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in

SUBMITTER: Peltola SD 

PROVIDER: S-EPMC12367532 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature