ArticlePediatric quality & safety
A Quality Improvement Intervention to Decrease Hypothermia in the Delivery Room Using a Checklist.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Acceptance and implementation of evidence-based practices in delivery room resuscitation: A qualitative study.SSM. Qualitative research in health · 2025Article
- Quality improvement for neonatal resuscitation and delivery room care.Seminars in perinatology · 2022Review
- Developing a Unit-Based Quality Improvement Program in a Large Neonatal ICU.Joint Commission journal on quality and patient safety · 2021Article
- A quality improvement initiative to reduce hypothermia in a Baby-Friendly nursery - our story of algorithms, K-cards, and Key cards.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Do quality improvement projects require IRB approval?Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Preventing Perioperative Hypothermia in Neonatal Surgical Patients: A Phased Quality Improvement Initiative within the Wake Up Safe Collaborative.Pediatric quality & safetyArticle
- A Quality Improvement Initiative to Improve Perioperative Hypothermia Rates in the NICU Utilizing Checklists.Pediatric quality & safetyArticle
- A Quality Initiative for Reducing Postoperative Hypothermia for Neonatal Intensive Care Unit Surgical Patients.Pediatric quality & safetyArticle
- A Quality Improvement Initiative to Improve Normothermia While Transitioning Premature Infants to an Open Crib.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPremature babies are at increased risk of hypothermia, core body temperature <97°F. Delivery room environment may contribute and lead to complications. The objective was to reduce hypothermia in babies <32 weeks of gestation in the delivery room to <40% using a checklist and sustain it for 6 months.
methodsWe created a delivery room checklist in 2012. Chart review established a baseline rate of hypothermia (<97°F). The team analyzed the checklist's effect on hypothermia from 2012 to 2018 and utilized numerous interventions to maintain compliance. Chi-square test and Fisher's exact test analyzed hypothermia and hyperthermia as a balancing measure. All calculations performed in SAS 9.3.
resultsThe checklist reduced hypothermia from a baseline of 50% in 2011 (n = 104) to 33% in 2012 (n = 106). In 2013, the proportion of hypothermia slightly increased to 36% (n = 81). The year 2014 brought larger drift, and proportion of hypothermia increased to 44% (n = 117). In 2015, we reinforced the use of the checklist and proportion of hypothermia improved to 36% (n = 99). Further interventions through 2018 decreased hypothermia further to 14% to achieve statistical significance.
conclusionsA checklist is a simple tool that may yield beneficial changes in practice and helped to decrease the proportion of neonatal hypothermia.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.