Quality improvement project to reduce intraventricular haemorrhage in very preterm infants failed due to increased life-sustaining intensive care at low gestational age.

ABSTRACT:

Objectives

In October 2016, a single centre quality improvement programme 'IBIS' (from the German "Intraventrikuläre Blutungs-Inzidenz Senken"), an intraventricular haemorrhage (IVH) prevention bundle had the Specific Measurable Achievable Reasonable Time-bound (SMART) Aim to reduce IVH incidence from 29.6% to 18.5% within 2 years for very preterm (gestational age (GA) between 23 0/7 and 29 6/7).

Design

Monocentric retrospective cohort study of a failed quality improvement project using prospectively collected data including 1276 live-born very preterm infants between 2010 and 2023. Primary outcome measures were IVH, severe IVH and death or severe IVH. Statistical analysis included propensity score matching.

Interventions

IBIS, an ongoing IVH prevention bundle based o

SUBMITTER: Erni I 

PROVIDER: S-EPMC12542584 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature