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• W3204136934 abstract "<h3>Background</h3> Delayed Cord Clamping (DCC) in a new born is endorsed by The Resuscitation Council, BAPM,RCOG and WHO. A peri-natal Quality Improvement initiative was carried across the neonatal units at Leeds Children’s Hospital. <h3>Objectives</h3> The aim of this project was to introduce a delay between birth and clamping of the umbilical cord of 1 minute or more. This allows smoother physiological transition, reducing IVH and mortality in preterm babies. Our target was to achieve 80% of preterm babies having DCC of more than 1 minute. <h3>Methods</h3> Quality improvement methodology was applied at various stages. This collectively included brainstorming, creation of a driver diagram with steps to consider, its implementation at various primary and secondary driver levels and writing of a standard operating procedure (SOP) jointly with maternity. Monthly we collected pre and post intervention data from several neonatal databases, progress was reviewed and obstacles tackled. Tools used were multidisciplinary meetings, teaching to healthcare professionals, posters, simulation scenarios and a big push towards documentation of DCC to achieve quality data. <h3>Results</h3> Results were analysed and interpreted through run charts and pie diagrams. Pre- intervention data (Jan 2019-Nov-2019)showed nearly 100% of DCC in term babies which completed phase 1 of the QI project. Phase 2 utilised our interventions to aim to achieve 80% DCC compliance in preterm babies. Both subgroups of babies showed significant improvement in DCC post intervention (Dec 2019-November2020); from median 38% to 65% (32–36 weeks) and 0% to 50% (<32 weeks). Less variability is noticeable in the 32–36 week group, however there is wide variability in the extreme preterm group which is attributable to small numbers of babies being born and their condition at birth. Phase 3 is to support resuscitation on the cord with a Life start trolley. <h3>Conclusions</h3> Introduction of quality Improvement measures in the form of education, communication, promotion and guideline development, our institution showed significant success in the rate of deferred Cord Clamping in a new born. There has been a significant improvement in compliance across both preterm subgroups. We hope the rates of compliance will improve further upon the introduction of a Life start trolley." @default.
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• W3204136934 date "2021-09-30" @default.
• W3204136934 modified "2023-09-25" @default.
• W3204136934 title "648 Delayed cord clamping quality improvement project neonatal intensive care unit -leeds children’s hospital" @default.
• W3204136934 doi "https://doi.org/10.1136/archdischild-2021-rcpch.119" @default.
• W3204136934 hasPublicationYear "2021" @default.
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