Impact of Process Optimization and Quality Improvement Measures on Neonatal Feeding Outcomes at an All-Referral Neonatal Intensive Care Unit

JPEN. Journal of Parenteral and Enteral Nutrition
Sudarshan R JadcherlaLeif Nelin

Abstract

We hypothesized that the implementation of a feeding quality improvement (QI) program among premature neonates accelerates feeding milestones, safely lowering hospital length of stay (LOS) compared with the baseline period. Baseline data were collected for 15 months (N = 92) prior to initiating the program, which involved development and implementation of a standardized feeding strategy in eligible premature neonates. Process optimization, implementation of feeding strategy, monitoring compliance, multidisciplinary feeding rounds, and continuous education strategies were employed. The main outcomes included the ability and duration to reach enteral feeds-120 (mL/kg/d), oral feeds-120 (mL/kg/d), and ad lib oral feeding. Balancing measures included growth velocities, comorbidities, and LOS. Comparing baseline versus feeding program (N = 92) groups, respectively, the feeding program improved the number of infants receiving trophic feeds (34% vs 80%, P < .002), trophic feeding duration (14.8 ± 10.3 days vs 7.6 ± 8.1 days, P < .0001), time to enteral feeds-120 (16.3 ± 15.4 days vs 11.4 ± 10.4 days, P < .04), time from oral feeding onset to oral feeds-120 (13.2 ± 16.7 days vs 19.5 ± 15.3 days, P < .0001), time from oral feeds-120 to ...Continue Reading

References

Feb 7, 1998·American Journal of Public Health·R C HolmanR I Glass
Aug 10, 1999·Family Practice·A HampshireI Williams
Jul 5, 2001·Pediatric Radiology·M G Mercado-DeaneV Hudson
May 30, 2003·Journal of Perinatology : Official Journal of the California Perinatal Association·Reese H ClarkDavid A Clark
Jun 27, 2003·Journal of Pediatric Gastroenterology and Nutrition·Nathalie RommelGigi Veereman-Wauters
Jul 22, 2005·The Cochrane Database of Systematic Reviews·J E Tyson, K A Kennedy
Sep 28, 2005·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S R JadcherlaR Shaker
Sep 29, 2005·Pediatric Research·Ricardo A CaicedoJosef Neu
Oct 1, 2005·Quality & Safety in Health Care·E C GoyderC Massey
Aug 1, 2006·Journal of Communication Disorders·Steven M Barlow, Meredith Estep
Nov 3, 2006·Pediatrics·Michael S LasserRandall S Burd
Dec 23, 2006·Seminars in Fetal & Neonatal Medicine·Howard Heiman, Richard J Schanler
Feb 8, 2007·The American Journal of Clinical Nutrition·Josef Neu
Apr 28, 2007·Seminars in Perinatology·Yesenia Morales, Richard J Schanler
Jul 10, 2007·The American Journal of Gastroenterology·Sudarshan R JadcherlaReza Shaker
Oct 5, 2007·Early Human Development·Josef Neu
Nov 24, 2007·The Journal of Pediatrics·Sudarshan Rao JadcherlaReza Shaker
Dec 7, 2007·Acta Paediatrica·N AmaizuC Lau
Jan 2, 2008·Pediatrics·William F MalcolmUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
Mar 18, 2008·The American Journal of Gastroenterology·Sudarshan R JadcherlaStephen Welty
Apr 22, 2008·The Cochrane Database of Systematic Reviews·William McGuire, Sarah Bombell
Apr 22, 2008·The Cochrane Database of Systematic Reviews·Sarah Bombell, William McGuire
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Eugene Ng, Vibhuti S Shah
Jan 29, 2009·The American Journal of Gastroenterology·Alankar GuptaSudarshan R Jadcherla
Jan 31, 2009·Journal of Pediatric Gastroenterology and Nutrition·Sudarshan R JadcherlaThomas Linscheid
Apr 17, 2009·Current Opinion in Otolaryngology & Head and Neck Surgery·Steven M Barlow
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Sarah Bombell, William McGuire
Jul 16, 2009·The American Journal of Gastroenterology·Sudarshan R JadcherlaReza Shaker
Sep 24, 2009·The Journal of Pediatrics·Reese H Clark, Alan R Spitzer
Oct 9, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·S R JadcherlaS R Leuthner
Feb 19, 2010·The Cochrane Database of Systematic Reviews·Felicia M McCormickWilliam McGuire
Jul 17, 2010·American Journal of Public Health·Rebecca A Braun, Jackie M Provost
Jun 23, 2011·Journal of Pediatric Gastroenterology and Nutrition·Sudarshan R JadcherlaCarlo DiLorenzo
Aug 20, 2011·American Journal of Physiology. Gastrointestinal and Liver Physiology·Sudarshan R JadcherlaMark Splaingard
Aug 23, 2011·Archives of Disease in Childhood. Fetal and Neonatal Edition·Claus KlingenbergCarl A Kuschel
Nov 1, 2011·JPEN. Journal of Parenteral and Enteral Nutrition·Sudarshan R JadcherlaChristina J Valentine
Nov 11, 2011·The Cochrane Database of Systematic Reviews·Shahirose S Premji, Lorraine Chessell
Mar 13, 2013·Pediatrics·Jonathan L SlaughterPatricia B Reagan
Jan 18, 2014·Hospital Pediatrics·Sudarshan R JadcherlaWilliam Gardner
Aug 8, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·J L SlaughterS R Jadcherla
Sep 6, 2014·PloS One·Jonathan L SlaughterSudarshan R Jadcherla

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Citations

Jan 7, 2017·Current Opinion in Pediatrics·Dan L Ellsbury, Reese H Clark
Apr 4, 2019·Revista brasileira de enfermagem·Luis Roberto Barbino JuniorCarmen Silvia Gabriel
Apr 4, 2019·Revista brasileira de enfermagem·Paulo Carlos GarciaFernanda Maria Togeiro Fugulin
Oct 2, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Timothy L DuncanBrian T Bucher
Jul 14, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Kousiki Patra, Michelle M Greene
Aug 2, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Sreekanth Viswanathan, Sudarshan Jadcherla
Feb 13, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Sreekanth ViswanathanSudarshan Jadcherla
Aug 30, 2019·Paediatrics & Child Health·James Haiyang XuUNKNOWN Canadian Neonatal Network Investigators
May 23, 2020·Clinics in Perinatology·Ish K GulatiSudarshan R Jadcherla
Mar 12, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Tesi ThomasDeborah Grabher
Nov 30, 2019·American Journal of Perinatology·Sreekanth Viswanathan, Sudarshan Jadcherla
Jan 1, 2022·NeoReviews·Erika K Osborn, Sudarshan R Jadcherla

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