Scholarlink

Objectives <p>To increase the facility-based follow-up rate of high-risk neonates at the first visit and subsequent visits until 24 mo of age.</p> Methods <p>This quality improvement study was conducted in a tertiary neonatal intensive care unit between July 2023 and May 2025. Baseline data were collected, and multiple plan-do-study-act cycles were implemented, including structured pre-discharge counseling, voice call reminders, standard operating procedures, and integration with the District Early Intervention Center. Statistical process control charts were used to monitor the monthly follow-up rates at scheduled visits through 12 mo of age.</p> Results <p>A total of 1083 high-risk infants were discharged during the study (mean 46 per mo). Follow-up attendance improved significantly at the first visit (from 38% to 100%), at 1 mo (from 36% to 79%), 4 mo (from 32% to 62%), 8 mo (from 26% to 48%), and 12 mo (from 24% to 45%). The pre-discharge counseling rate increased from 40% to &gt; 85%. Voice calls successfully reached 79% of families, and video consultations enabled the assessment of 30–40% of missed visits. Staff transitions lead to special cause variations, underscoring the need for systematic training.</p> Conclusions <p>Multipronged low-cost interventions can achieve substantial and sustained improvements in the follow-up rate of high-risk infants in a resource-limited public hospital setting.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

High Risk Follow-Up of NICU Graduates – A Quality Improvement Study at a Tertiary Care Centre

  • 期刊论文

  • 发表日期：

    2026年5月5日

查看全文
  • Hemant Namdeo Patil,
  • Amol Kalyanrao Joshi,
  • Laxmikant Sheshrao Deshmukh,
  • Atul C. Londhe,
  • Sumit Jeena

摘要

Objectives

To increase the facility-based follow-up rate of high-risk neonates at the first visit and subsequent visits until 24 mo of age.

Methods

This quality improvement study was conducted in a tertiary neonatal intensive care unit between July 2023 and May 2025. Baseline data were collected, and multiple plan-do-study-act cycles were implemented, including structured pre-discharge counseling, voice call reminders, standard operating procedures, and integration with the District Early Intervention Center. Statistical process control charts were used to monitor the monthly follow-up rates at scheduled visits through 12 mo of age.

Results

A total of 1083 high-risk infants were discharged during the study (mean 46 per mo). Follow-up attendance improved significantly at the first visit (from 38% to 100%), at 1 mo (from 36% to 79%), 4 mo (from 32% to 62%), 8 mo (from 26% to 48%), and 12 mo (from 24% to 45%). The pre-discharge counseling rate increased from 40% to > 85%. Voice calls successfully reached 79% of families, and video consultations enabled the assessment of 30–40% of missed visits. Staff transitions lead to special cause variations, underscoring the need for systematic training.

Conclusions

Multipronged low-cost interventions can achieve substantial and sustained improvements in the follow-up rate of high-risk infants in a resource-limited public hospital setting.