Improving Safe Sleep Modeling in the Hospital through Policy Implementation
| Autor: | Ester Kim Nilles, Rachel Heitmann, Jackie Moreland, Morgan F. McDonald, Ashley Jeans, Chris Clarke, Michael D. Warren |
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| Rok vydání: | 2017 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty Epidemiology Health Personnel Specific risk Audit 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Health care Policy implementation medicine Humans 030212 general & internal medicine Process Measures business.industry Health Policy Public health Infant Newborn Public Health Environmental and Occupational Health Infant Obstetrics and Gynecology medicine.disease Tennessee Hospitals Infant mortality Infant Care Pediatrics Perinatology and Child Health Female Guideline Adherence Patient Safety Medical emergency Sleep (system call) Sleep business Sudden Infant Death |
| Zdroj: | Maternal and Child Health Journal. 21:1995-2000 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-017-2334-8 |
| Popis: | Introduction Sleep-related infant deaths are major contributors to Tennessee's high infant mortality rate. The purpose of this initiative was to evaluate the impact of policy-based efforts to improve modeling of safe sleep practices by health care providers in hospital settings across Tennessee. Methods Safe sleep policies were developed and implemented at 71 hospitals in Tennessee. Policies, at minimum, were required to address staff training on the American Academy of Pediatrics' safe sleep recommendations, correct modeling of infant safe sleep practices, and parent education. Hospital data on process measures related to training and results of crib audits were compiled for analysis. Results The overall observance of infants who were found with any risk factors for unsafe sleep decreased 45.6% (p ≤ 0.001) from the first crib audit to the last crib audit. Significant decreases were noted for specific risk factors, including infants found asleep not on their back, with a toy or object in the crib, and not sleeping in a crib. Significant improvements were observed at hospitals where printed materials or video were utilized for training staff compared to face-to-face training. Discussion Statewide implementation of the hospital policy intervention resulted in significant reductions in infants found in unsafe sleep situations. The most common risk factors for sleep-related infant deaths can be modeled in hospitals. This effort has the potential to reduce sleep-related infant deaths and ultimately infant mortality. |
| Databáze: | OpenAIRE |
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