الفهرس 
Principles of Quality Improvement in NICUOnly 14 pages are availabe for public view
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Abstract
Aim of the work: The aim of the study is to understand the key principles of quality improvement of health care including assessment of quality and tools of quality improvement in order to find practical guidelines to improve quality of care in the NICU of Mansoura University Children’s Hospital. Results • Goals of quality improvement include efforts to uncover causes of poor care and to develop strategies to improve care. • Quality assessment can be based on the examination of structures, processes, or outcomes. • Severity of illness scores, based on multivariate modeling techniques, can be used to adjust for case mix differences among intensive care units when comparing patient outcomes. • Improvement team is aided by engineering and statistical tools as tools for process description, tools for data collection and analysis, tools for collaborative work, tools for process design, neonatal databases, practice guidelines, evidence based medicine and potentially better practices. • Neonatal databases may serve the needs of single institution, hospital, health care provider networks • Practice guidelines currently in use by neonatologist vary in scope, quality of evidence and methodology used in their development. • The evidence based medicine process can be used to help in changing practices or adopting new practices. • The California Perinatal Quality Care Collaborative (CPQCC) and the Vermont Oxford Network (VON) provide two examples of how quality improvement is being applied to neonatal care • Potentially better practices (PBPs) developed in the field of neonatal care include the followings: PBPs to decrease nosocomial infections, PBPs in neonatal intensive care nutrition, for prevention of brain hemorrhage and ischemic brain injury in VLBW, PBPs to support neurodevelopment in the NICU, PBPs to prevent chronic lung disease, PBPs for management of pain in NICU, Improving family-centered care, for staffing in NICU, for multidisciplinary teamwork, and to improve the discharge process in the NICU.