Safety and feasibility of skin-to-skin care for surgical infants: A quality improvement project

Space: StayCurrentMD Author: Lorraine I. Kelley-Quon, Brian D. Kenney, Thomas Bartman, Roberta Thomas, Venita Robinson, Benedict C. Nwomeh, Roopali Bapat Published:

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Lorraine I. Kelley-Quon, Brian D. Kenney, Thomas Bartman, Roberta Thomas, Venita Robinson, Benedict C. Nwomeh, Roopali Bapat

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Abstract

Background

Skin-to-skin care (SSC) for infants improves physiologic stability, pain perception, brain development, parental bonding, and overall survival. Using quality improvement (QI) methodology, this project aimed to increase SSC for surgical infants in the neonatal intensive care unit (NICU).

Methods

A multidisciplinary working group composed of key NICU stakeholders instituted a needs assessment querying perceptions and concerns about SSC. Based on survey results, multiple system level interventions were implemented. Data for surgical infants receiving SSC during hospitalization were tracked over time using the electronic health record.

Results

Overall, 315 infants requiring a surgical consult were admitted to the NICU in the first 12 months of the project. After six months, SSC rates in this group increased from 51% to 60.5% (p 

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