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What is the Opinion of the Health Care Personnel Regarding the Use of Different Assistive Tools to Improve the Quality of Neonatal Resuscitation?

Publicado en:AMERICAN JOURNAL OF PERINATOLOGY. 41 (12): 1645-1651 - 2024-01-30 41(12), DOI: 10.1055/a-2240-2094

Autores: Ortiz-Movilla, Roberto; Beato-Merino, Maite; Monux, Rosa Maria Funes; Martinez-Bernat, Lucia; Domingo-Comeche, Laura; Royuela-Vicente, Ana; Roman-Riechmann, Enriqueta; Marin-Gabriel, Miguel Angel

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It is important to determine whether the use of different quality improvement tools in neonatal resuscitation is well-received by healthcare teams and improves coordination and perceived quality of the stabilization of the newborn at birth. OBJECTIVE : To explore the satisfaction of personnel involved in resuscitation for infants under 32 weeks of gestational age (<32 wGA) at birth with the use of an assistance toolkit: Random Real-Time Safety Audits (RRSA) of neonatal stabilization stations, the use of pre-CPR checklists, and the implementation of briefings and debriefings. STUDY DESIGN A quasi-experimental, prospective, multicenter intervention study was conducted in five level III-A NICUs in Madrid (Spain). The intervention involved conducting weekly RRSA of neonatal resuscitation stations and the systematic use of checklists, briefings, and debriefings during stabilization at birth for infants <32 wGA. The satisfaction with their use was analyzed through surveys conducted with the personnel responsible for resuscitating these newborns. These surveys were conducted both before and after the intervention phase (each lasting one year) and used a Likert scale response model to assess various aspects of the utility of the introduced assistance tools, team coordination, and perceived quality of the resuscitation. RESULTS Comparison of data from 200 pre-intervention surveys and 155 post-intervention surveys revealed statistically significant differences (p<0.001) between the two phases. The post-intervention phase scored higher in all aspects related to the effective utilization of these tools. Improvements were observed in team coordination and the perceived quality of neonatal resuscitation. These improved scores were consistent across personnel roles and years of experience. CONCLUSION Personnel attending to infants <32 wGA in the delivery room are satisfied with the application of RRSA, checklists, briefings, and debriefings in the neonatal resuscitation and perceive a higher level of quality in the stabilization of these newborns following the introduction of these tools.Thieme. All rights reserved.

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