Work

Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by implementation of a care bundle

Year: 2025

Type: article

Abstract: OBJECTIVE: To decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months. POPULATION: All infants born less than 30 gestational weeks. METHODS: Targeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 - April 2024. OUTCOME MEASURES: A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation. RESULTS: The rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in the intervention period. CONCLUSION: Standardization of care using a sIVH prevention bundle was instrumental in the success of this project.

Source: Journal of Perinatology

DOI: 10.1038/s41372-025-02274-5

Authors: Samantha D. Peltola, Uduak S. Akpan, Dmitry Tumin, Penni Huffman

Institutions: University of South Alabama, East Carolina University

Language: English

Topic: Neonatal and fetal brain pathology

Subfield: Pediatrics, Perinatology and Child Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,790