Title

Guideline-Based Educational Intervention to Decrease the Risk for Readmission of Newborns With Severe Hyperbilirubinemia

Authors

Authors

J. B. Waldrop; C. K. Anderson;D. H. Brandon

Comments

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Abbreviated Journal Title

J. Pediatr. Health Care

Keywords

Hyperbilirubinemia; infant; quality improvement; educational; intervention; guidelines; SEVERE NEONATAL HYPERBILIRUBINEMIA; TERM NEWBORNS; HEALTHY TERM; PRIMARY-CARE; BILIRUBIN; KERNICTERUS; JAUNDICE; INFANTS; SURVEILLANCE; Health Policy & Services; Nursing; Pediatrics

Abstract

Introduction: The purpose of this study was to determine if educational intervention with medical providers in combination with a management tool to facilitate clinical guideline usage would (a) increase quality of care, (b) increase compliance with published guidelines, and (c) decrease hospital readmissions as a result of hyperbilirubinemia in the first week of life. Method: A quality improvement initiative was undertaken with a preintervention/postintervention design. Intervention: An educational intervention was offered to persons who provide medical care to newborns. The charts of newborns were reviewed before and after the intervention in three samples: a care quality sample (N = 244), a compliance sample (N = 240), and a readmission sample. Results: In the quality care sample, documentation of three quality care indicators improved significantly and one worsened significantly. In the compliance sample, the percentage of infants who were given appropriate follow-up appointments in primary care based on their hyperbilirubinemia risk at discharge improved (p = .03), and the readmission rate of newborns within the first week of life as a result of hyperbilirubinemia decreased by 50%. Discussion: An educational intervention with a clinical tool may help change provider practice. Longer follow-up is needed to determine if the impact is sustainable. J Pediatr Health Care. (2013) 27, 41-50.

Journal Title

Journal of Pediatric Health Care

Volume

27

Issue/Number

1

Publication Date

1-1-2013

Document Type

Article

Language

English

First Page

41

Last Page

50

WOS Identifier

WOS:000312127100009

ISSN

0891-5245

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