Application of PDCA cycle in quality improvement of neonatal resuscitation
10.3760/cma.j.issn.2096-2932.2023.01.008
- VernacularTitle:戴明环管理法在新生儿复苏质量改进中的应用
- Author:
Zhi LONG
1
;
Qian WANG
;
Fang WU
;
Jingjing PAN
;
Hongai ZHANG
;
Xueqin QING
;
Weining MA
;
Xiaowen WANG
;
Hongtao XU
Author Information
1. 上海交通大学附属第一人民医院新生儿科，上海 201620
- Keywords:
Neonatal asphyxia;
Neonatal resuscitation;
PDCA cycle;
Quality improvement
- From:Chinese Journal of Neonatology
2023;38(1):34-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effects of plan-do-check-action (PDCA) cycle in quality improvement of neonatal resuscitation.Methods:From 2016 to 2020, the clinical data of neonates born in our hospital were analyzed. Neonates born during 2016 to 2017 were pre-PDCA group and neonates born during 2018 to 2020 were post-PDCA group. PDCA quality improvement included step-by-step, high-frequency and low-dose training, strengthening teamwork and adding equipment.Results:A total of 7 728 live-birth neonates were delivered before PDCA with 319 cases (4.1%) of asphyxia. 10 174 live-birth neonates were delivered after PDCA with 422 cases (4.1%) of asphyxia. The asphyxia rates showed no significant difference between the two groups ( P>0.05). The incidences of severe asphyxia before and after PDCA were both 0.8% without significant difference ( P>0.05). The success rates of resuscitation for severe asphyxia before and after PDCA was 27.9% and 44.9%, respectively, and the differences were statistically significant ( P<0.05). The mortality rates within 7 d before and after PDCA were 0.5‰ and 0.1‰ respectively, without significant differences ( P>0.05). Conclusions:The implementation of PDCA cycle and step-by-step, high-frequency, low-dose neonatal resuscitation training can effectively improve the success rate of resuscitation in newborns with severe asphyxia.
