A Hospital-Based Initiative to Reduce Postdischarge Sudden Unexpected Infant Deaths

Hospital Pediatrics
Scott D Krugman, Carolyn J Cumpsty-Fowler

Abstract

Sudden unexpected infant deaths (SUID) most often occur because infants are placed in unsafe sleep environments. Although authors of previous literature have demonstrated that parents who receive comprehensive safe sleep education increase knowledge and intention to place children in safe sleep environments, no studies have demonstrated improved outcomes. We describe the development of a hospital-based newborn SUID risk reduction quality improvement project and its effectiveness in reducing subsequent SUIDs in a community using linked outcome data from local Child Fatality Review Teams. Qualitative and quantitative evaluation of a long-term iterative performance improvement intervention for a nursery-based comprehensive safe sleep program in a community teaching hospital. Key themes and exemplary comments were noted. The rate of infant deaths per 1000 births was the primary quantitative outcome. The rate is calculated quarterly and monitored with control charts by using Child Fatality Review data about infant sleep deaths. The average death rate fell from 1.08 infants per 1000 births preintervention to 0.48 infants per 1000 births after complete intervention, and the average number of deaths between deliveries increased from 1 ...Continue Reading

References

Jul 2, 2002·Archives of Pediatrics & Adolescent Medicine·Eve R Colson, Sharon Cohen Joslin
Aug 26, 2009·Annual Review of Public Health·Lawrence W GreenRobert A Hiatt
Feb 12, 2015·Clinical Pediatrics·Michael H GoodsteinScott D Krugman
Jul 29, 2015·Pediatrics·Staci R EisenbergMichael J Corwin
Jul 29, 2015·Pediatrics·Scott D Krugman, Carolyn J Cumpsty-Fowler
Oct 27, 2015·Current Pediatric Reviews·Rachel Y MoonEve R Colson
Jan 13, 2016·Hospital Pediatrics·Stephanie KuhlmannTherese Macasiray Truong
Aug 3, 2016·Pediatrics·Kristin A ShadmanRyan J Coller
Dec 13, 2016·Pediatrics·Rachel Y Moon, UNKNOWN TASK FORCE ON SUDDEN INFANT DEATH SYNDROME

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Citations

Jun 23, 2021·Pediatrics·Michael H GoodsteinUNKNOWN COMMITTEE ON FETUS AND NEWBORN, TASK FORCE ON SUDDEN INFANT DEATH SYNDROME

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