ArticlePediatric quality & safety
A Quality Improvement Initiative to Improve Perioperative Hypothermia Rates in the NICU Utilizing Checklists.
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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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Applying Adult Learning Theory in Improving Knowledge, Attitude, and Practice of Inadvertent Perioperative Hypothermia in Operating Room Nurses: Single-Group "Before and After Study".Therapeutic hypothermia and temperature management · 2024Trial
- Prevention of inadvertent perioperative hypothermia as a quality indicator in anesthesia: an eight-year experience from 2014 to 2022.BMC anesthesiology · 2026Article
- Nurses' knowledge, attitudes, and behaviors of inadvertent perioperative hypothermia prevention in China: a multicenter, cross-sectional study.BMC pediatrics · 2025Article
- Implementation of multi-mode nursing insulation program for patients receiving surgery for spine tumor: a propensity score-matched analysis.BMC surgery · 2022Observational
- 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
- A Quality Improvement Initiative to Improve Normothermia While Transitioning Premature Infants to an Open Crib.Pediatric quality & safetyArticle
- Quality Improvement Intervention Lowers Hypothermia Rates in Preterm Infants in a Resource-Limited Setting.Pediatrics international : official journal of the Japan Pediatric SocietyArticle
- Reducing Intraoperative Hypothermia in Infants from the Neonatal Intensive Care Unit.Pediatric quality & safetyArticle
- Preventing Perioperative Hypothermia in Neonatal Surgical Patients: A Phased Quality Improvement Initiative within the Wake Up Safe Collaborative.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Premature infants are at high risk for heat loss. Infants undergoing surgical procedures outside of the neonatal intensive care unit have an increased risk of hypothermia. Hypothermia can lead to delayed recovery, hypoglycemia, metabolic acidosis, sepsis, and emotional stress for the parents. We aimed to reduce the incidence of hypothermia for infants undergoing surgical procedures from a baseline of 44.4% to less than 25% over 3 years (2016-2018) with the utilization of a checklist and education.
methodsWe conducted a retrospective chart review for all infants undergoing surgical procedures from 2014 to 2015 and prospective data for 2016-2018. Next, we created a multidisciplinary team, educated staff members, and instituted a checklist comprising 9 tasks. We conducted Plan-Do-Study-Act cycles quarterly and audited checklist compliance monthly.
resultsFrom 2014 to 2015, the total incidence of perioperative hypothermia was 44.4% (n = 54). After the initiation of the checklist, the overall incidence of hypothermia decreased to 23.4% (n = 124,
conclusionA checklist is a useful and simple tool for maintaining an optimal temperature for postsurgical neonates. Frequent re-education and enforcement of the protocol is necessary. Overall, implementation of the checklist, along with regular education, decreased the total incidence of perioperative hypothermia in the neonatal intensive care unit.
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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.