Title

Guideline-Based Educational Intervention To Decrease The Risk For Readmission Of Newborns With Severe Hyperbilirubinemia

Keywords

Educational intervention; Guidelines; Hyperbilirubinemia; Infant; Quality improvement

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. © 2013.

Publication Date

1-1-2013

Publication Title

Journal of Pediatric Health Care

Volume

27

Issue

1

Number of Pages

41-50

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/j.pedhc.2011.09.002

Socpus ID

84870919105 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84870919105

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