Alarm safety and oxygen saturation targets in the Vermont Oxford Network iNICQ 2015 collaborative
| Autor: | Roger F. Soll, David W. Sink, James I. Hagadorn, Jeffrey D. Horbar, Madge E. Buus-Frank, Kate A. Morrow, Erika M. Edwards, Karla R. Ferrelli |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Gestational Age Commission Audit Hyperoxia Local policy 03 medical and health sciences ALARM Patient safety 0302 clinical medicine Intensive Care Units Neonatal 030225 pediatrics Intensive care medicine Humans Oximetry Prospective Studies 030212 general & internal medicine Hypoxia Intensive care medicine Monitoring Physiologic Oxygen saturation (medicine) business.industry Infant Newborn Obstetrics and Gynecology Vermont oxford network medicine.disease Oxygen Logistic Models Clinical Alarms Pediatrics Perinatology and Child Health Patient Safety Medical emergency business Infant Premature Vermont |
| Zdroj: | Journal of Perinatology. 37:270-276 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/jp.2016.219 |
| Popis: | To assess progress of neonatal intensive care units (NICUs) participating in the Vermont Oxford Network iNICQ 2015: Alarm Safety Collaborative in achieving Joint Commission 2014 alarm safety goals with respect to oximeters, and to compare patient-level oxygen saturation (SpO2) and oximeter alarm data to local policies. Prospective multicenter audits in February and August 2015 assessed implementation of policies addressing Joint Commission 2014 Alarm Safety goals, and ascertained SpO2 targets, oximeter alarm settings and compliance with policy-specified SpO2 targets and alarms. Eighty-six NICUs completed both audits. Of 13 policies addressing mandated goals, median (interquartile range) 8 (5, 9) policies were implemented at audit 1 and 9 (6, 11) at audit 2 (P=0.004). At audit 1, 28 NICUs had implemented ⩾9 policies versus 47 at audit 2. For 794 infants 97% was less frequent than when high alarm was not set to policy (10.1% vs 21.5%, P=0.006). Participating NICUs showed significant progress between audits in their implementation of Joint Commission Alarm Safety goals for oximeter monitoring. Oximeter high alarm not set per local policy is associated with increased hyperoxemia in preterm infants. Recommendations to standardize oxygen saturation targets for infants at risk for oxygenation-related outcomes have not been widely adopted. |
| Databáze: | OpenAIRE |
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