Reduce Incidences of Babies with BrONchopulmonary Dysplasia (RIBBON)
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
To reduce the incidence of Bronchopulmonary Dysplasia (BPD) in premature infants from 20.9% to below 15% by Q1 2024. Successfully demonstrated that targeted improvements in care can drastically reduce BPD incidence in preterm infants.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Risk Management, Adverse Outcome Reduction
About this Content
Aims
To reduce the incidence of Bronchopulmonary Dysplasia (BPD) in premature infants from 20.9% to below 15% by Q1 2024.
Background
BPD is a chronic lung disease in preterm infants caused by prolonged oxygen therapy and ventilation, with a high incidence of 20.9% at NUH since 2020.
Methods
Implemented improvements in nutrition, respiratory care, and nursing protocols. Used value stream mapping (VSM) and root cause analysis (RCA) to guide interventions.
Results
Chronic lung disease incidence reduced to 5% after interventions; enhanced protocols for ventilation and suction care led to measurable improvements.
Conclusion
Successfully demonstrated that targeted improvements in care can drastically reduce BPD incidence in preterm infants.
Lessons Learnt
Open communication, regular team huddles, and protected discussion time ensured successful implementation of changes.
Additional Information
Ongoing monitoring to sustain improvements and further reduce incidence.
Keywords
Bronchopulmonary Dysplasia, Chronic Lung Disease, Preterm Infants, Respiratory Care, QI Initiative
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing, Medical |
Applicable Specialty or Discipline | Neonatology, Pulmonology, Nutrition ＆ Dietetics |
Project Lead(s) | Agnihotri Biswas |
Project Member(s) | Khadijah Binti Abdul Kader |
Connect with this contributor!
Dr. Agnihotri Biswas - biswas_agnihotri@nuhs.edu.sg
Project Attachment
63_NTFGH_QM_2019_Cardiology_Clinic_No_Show_Management_combine.pdf