Package of local interventions for reducing in-hospital neonatal mortality using quality improvement methodology at a major hospital in India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20151043Keywords:
Neonatal mortality, Quality Improvement, Labor room interventionAbstract
Background: Reducing neonatal mortality has always been a challenge for the world and India. Here we provide a brief account of a pilot done at Sanjay Gandhi Memorial Hospital, New Delhi for reducing neonatal mortality.
Methods:Rotation of labour room nurses to In-hospital Neonatal ICU for a specified period of 4 months for providing hands-on training on neonatal emergencies. In exchange, equal number of Nurses from NICU was posted in labour room, thus making each delivery managed by an obstetric nurse and a paediatric nurse. Ensuring breastfeeding within one hour within the labour room itself was also mandated by NICU Nurse.
Results: It was observed that there was 30.2% decrease in In-hospital neonatal mortality.
Conclusions:Using these interventions, there has been a dramatic decrease of neonatal mortality to 30.2% and 4.53% due to sepsis. There has also been 1% decrease in Median Referral Percentage to In-hospital Neonatal ICU due to morbidities associated with inborn neonates.
References
UNICEF. The state of asia-pacific’s children 2008: child survival. New York: UNICEF; 2008.
Census of India. Office of Registrar General and Census Commissioner, India. http://www.censusindia.gov.in/vital_statistics/SRS_Reports_2012.html.
Government of NCT of Delhi – Health and Family Welfare. Sanjay Gandhi Hospital available at http://www.delhi.gov.in/wps/wcm/connect/doit_health/Health/Home/Hospitals/Sanjay+Gandhi+Memorial+Hospital/
Institute for Healthcare Improvement available at http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx.
National Health System Scotland, Quality Improvement Hub available at http://www.qihub.scot.nhs.uk/knowledge-centre/quality-improvement-tools/run-chart.aspx).
