Butler SC, Carroll K, Catalano K, Atkinson C, Chiujdea M, Kerr J, Severtson K, Drumm S, Gustafson K, Gingrasfield J. Sleeping Safe and Sound: A Multidisciplinary Hospital-wide Infant Safe Sleep Quality Improvement Initiative.
J Pediatr Health Care 2024:S0891-5245(24)00048-8. [PMID:
38647508 DOI:
10.1016/j.pedhc.2024.02.007]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 02/26/2024] [Accepted: 02/28/2024] [Indexed: 04/25/2024]
Abstract
INTRODUCTION
Promoting safe sleep to decrease sudden unexpected infant death is challenging in the hospital setting.
LOCAL PROBLEM
Concern for adherence to safe sleep practice across inpatient units at a large pediatric hospital.
METHODS
Used quality improvement methodologies to promote safe sleep across all units.
INTERVENTIONS
Development of a multidisciplinary expert group, hospital-wide guidelines, targeted interventions, and bedside audits to track progress.
RESULTS
Adherence to safe sleep practices improved from 9% to 53%. Objects in the crib were a major barrier to maintaining a safe sleep environment. Safe sleep practices were less likely to be observed in infants with increased medical complexity (p = .027).
CONCLUSIONS
Quality improvement methodology improved adherence to infant safe sleep guidelines across multiple units. Medically complex infants continue to be a challenge to safe sleep. Therefore, ongoing education for staff and further research into best practices for the most complex infant populations are necessary.
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