دورية أكاديمية
أعرض في EDS

Quality improvement initiative: implementing and redefining video review of real-time neonatal procedures using action research.

التفاصيل البيبلوغرافية
العنوان: Quality improvement initiative: implementing and redefining video review of real-time neonatal procedures using action research.
المؤلفون: Heesters V; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands v.heesters@lumc.nl., van Zanten HA; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands., de Boer LC; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands., Visser R; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands., Heijstek V; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands., Te Pas AB; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands., Witlox RS; Department of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands.
المصدر: BMJ open quality [BMJ Open Qual] 2024 May 15; Vol. 13 (2). Date of Electronic Publication: 2024 May 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101710381 Publication Model: Electronic Cited Medium: Internet ISSN: 2399-6641 (Electronic) Linking ISSN: 23996641 NLM ISO Abbreviation: BMJ Open Qual Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Publishing Group
مواضيع طبية MeSH: Quality Improvement* , Intensive Care Units, Neonatal*/organization & administration , Intensive Care Units, Neonatal*/statistics & numerical data , Intensive Care Units, Neonatal*/standards , Video Recording*/methods , Video Recording*/statistics & numerical data, Humans ; Surveys and Questionnaires ; Infant, Newborn ; Health Services Research/methods
مستخلص: Video review (VR) of procedures in the medical environment can be used to drive quality improvement. However, first it has to be implemented in a safe and effective way. Our primary objective was to (re)define a guideline for implementing interprofessional VR in a neonatal intensive care unit (NICU). Our secondary objective was to determine the rate of acceptance by providers attending VR. For 9 months, VR sessions were evaluated with a study group, consisting of different stakeholders. A questionnaire was embedded at the end of each session to obtain feedback from providers on the session and on the safe learning environment. In consensus meetings, success factors and preconditions were identified and divided into different factors that influenced the rate of adoption of VR. The number of providers who recorded procedures and attended VR sessions was determined. A total of 18 VR sessions could be organised, with an equal distribution of medical and nursing staff. After the 9-month period, 101/125 (81%) of all providers working on the NICU attended at least 1 session and 80/125 (64%) of all providers recorded their performance of a procedure at least 1 time. In total, 179/297 (61%) providers completed the questionnaire. Almost all providers (99%) reported to have a positive opinion about the review sessions. Preconditions and success factors related to implementation were identified and addressed, including improving the pathway for obtaining consent, preparation of VR, defining the role of the chair during the session and building a safe learning environment. Different strategies were developed to ensure findings from sessions were used for quality improvement. VR was successfully implemented on our NICU and we redefined our guideline with various preconditions and success factors. The adjusted guideline can be helpful for implementation of VR in emergency care settings.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: Healthcare quality improvement; Quality improvement; Quality improvement methodologies
تواريخ الأحداث: Date Created: 20240515 Date Completed: 20240515 Latest Revision: 20240518
رمز التحديث: 20240518
مُعرف محوري في PubMed: PMC11097868
DOI: 10.1136/bmjoq-2023-002588
PMID: 38749540
قاعدة البيانات: MEDLINE
الوصف
تدمد:2399-6641
DOI:10.1136/bmjoq-2023-002588