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Objective <p>To increase length board use for eligible neonatal intensive care unit (NICU) infants.</p> Study design <p>We implemented a quality improvement study involving 704 infants in our level IV NICU. A multidisciplinary workgroup developed guidelines for length measurement technique and completed Plan-Do-Study-Act cycles. Outcome measure was the weekly proportion of eligible infants who received a length board measurement. Process measures were the weekly proportion of infants with any length measurement or had method documented. Balancing measure was the incidence of unplanned dislodgements of drains, tubes, or catheters.</p> Results <p>After the guideline launch, both process measure proportions increased. Weekly mean percentage of length board increased from 11 to 63%. There were no dislodgement events. Length board measurements were less likely to demonstrate a negative change week-to-week (10% vs 18%, 16/161 vs 59/326, Fisher <i>p</i> = 0.02).</p> Conclusion <p>In a level IV NICU, a quality improvement initiative increased the safe use of length boards.</p>

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Increasing length board use in a neonatal intensive care unit: a quality improvement initiative

  • 期刊论文

  • 发表日期：

    2025年4月11日

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  • Yvette Penner,
  • Sabah Sabir,
  • Kathleen Quirk,
  • Julia Foster,
  • Kristen Earley Lindamood,
  • Jaclyn Mello,
  • Jimena Gayol Ortega,
  • Sophia Tate,
  • Kristen T. Leeman,
  • Coral Rudie,
  • Sarah U. Morton

摘要

Objective

To increase length board use for eligible neonatal intensive care unit (NICU) infants.

Study design

We implemented a quality improvement study involving 704 infants in our level IV NICU. A multidisciplinary workgroup developed guidelines for length measurement technique and completed Plan-Do-Study-Act cycles. Outcome measure was the weekly proportion of eligible infants who received a length board measurement. Process measures were the weekly proportion of infants with any length measurement or had method documented. Balancing measure was the incidence of unplanned dislodgements of drains, tubes, or catheters.

Results

After the guideline launch, both process measure proportions increased. Weekly mean percentage of length board increased from 11 to 63%. There were no dislodgement events. Length board measurements were less likely to demonstrate a negative change week-to-week (10% vs 18%, 16/161 vs 59/326, Fisher p = 0.02).

Conclusion

In a level IV NICU, a quality improvement initiative increased the safe use of length boards.