title: Outcomes of a Neonatal Golden Hour Implementation Project.
abstract: The objective of this study was to implement and evaluate a quality improvement project (the golden hour pathway [GHP]) aimed at improving the quality and efficiency of care delivered to extremely low birth weight (ELBW) infants <28 weeks gestation and/or <1000 g birth weight during the first hour of life. Process improvement and patient data collected during the quality improvement cycles were compared with retrospective data for ELBW infants admitted to the study neonatal intensive care unit during the 2 years prior to GHP implementation. GHP implementation resulted in improvements compared with past internal performance in time to surfactant administration, time to administration of dextrose and amino acids, body temperature at admission, odds of developing chronic lung disease, and odds of developing retinopathy of prematurity. A standardized interdisciplinary approach to the care of ELBW infants in the first hour of life can lead to more efficient care delivery and contribute to improved outcomes.
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, FL tashmead@health.usf.edu.
authors.forename: Terri L
authors.initials: TL
authors.lastname: Ashmeade
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, FL.
authors.forename: Laura
authors.initials: L
authors.lastname: Haubner
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, FL.
authors.forename: Sherie
authors.initials: S
authors.lastname: Collins
authors.affiliation: University of South Florida Morsani College of Medicine, Tampa, FL.
authors.forename: Branko
authors.initials: B
authors.lastname: Miladinovic
authors.affiliation: Tampa General Hospital, Tampa, FL.
authors.forename: Karen
authors.initials: K
authors.lastname: Fugate
mesh_terms: D000596:Amino Acids / Q000008:administration & dosage; D001831:Body Temperature; D005865:Gestational Age; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration* / Q000592:standards; D011663:Pulmonary Surfactants / Q000008:administration & dosage; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards; D012189:Retrospective Studies; D018570:Risk Assessment; D013997:Time Factors
chemical_list: D000596:Amino Acids; D011663:Pulmonary Surfactants; D005947:Glucose
keywords: extremely low birth weight; golden hour; quality improvement; resuscitation