Monday, July 23, 2018

Improving communication between #obstetric and #neonatology teams for high-risk deliveries: a quality improvement project.


Improving communication between #obstetric and #neonatology teams for high-risk deliveries: a quality improvement project.

Sundgren NC1,2, Kelly FC3, Weber EM4, Moore ML4, Gokulakrishnan G1,2, Hagan JL5, Brand MC1, Gallegos JO1, Levy BE4, Fortunov RM1,2.
Abstract
Summoning is a key component of communication between obstetrics and #neonatal resuscitation team (NRT) in advance of deliveries. A paging system is a commonly used summoning tool. The timeliness and information contained in the page help NRT to optimally prepare for postdelivery #infantcare. Our aim was to increase the frequency that summoning pages contained gestational age and reason for NRT attendance to >90%. At baseline, 8% of pages contained gestational age and 33% of pages contained a reason for NRT attendance. Sequential Plan-Do-Study-Act cycles were used as our model for quality improvement. During the 8-month improvement period, the per cent of pages increased to 97% for #gestational age and 97% for reason for NRT attendance. Measures of page timeliness, our balancing measure, did not change. Summoning communication between #obstetric and NRT is crucial for optimal #perinatal outcomes. 

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