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Quieting the neonatal intensive care unit:A quality improvement initiative

World Journal of Clinical Pediatrics 2024年第3期13卷 53-60页

作者： Darshan Rajatadri Rangaswamy niranjan kamble Amulya Veeramachaneni Department of Pediatrics Subbaiah Institute of Medical SciencesShimoga 577222KarnatakaIndia

BACKGROUND The neonatal intensive care unit(NICU)is vital for preterm infants but is often plagued by harmful noise *** noise,ranging from medical equipment to conversations,poses significant health risks,including hearing impairment and neurodevelopmental *** American Academy of Pediatrics recommends strict sound limits to safeguard neonatal *** such as education,environmental modifications,and quiet hours have shown to reduce noise ***,up to 60%of the noises remain *** noise exposure exacerbates physiological disturbances,impacting vital functions and long-term neurological *** noise reduction in the NICU is crucial for promoting optimal neonatal *** To measure the sound levels in a NICU and reduce ambient sound levels by at least 10%from *** A quasi-experimental quality improvement project was conducted over 4 mo in a 20-bed level 3 NICU in a tertiary care medical *** noise levels were recorded continuously using a sound level *** interventions included targeted education,environmental modifications,and organizational changes,and were implemented through three rapid Plan-Do-Study-Act(PDSA)*** feedback and monitoring were conducted,and statistical process control charts were used for *** mean noise values were compared using the paired *** The baseline mean ambient noise level in the NICU was 67.8 dB,which decreased to 50.5 dB after the first cycle,and further decreased to 47.4 dB and 51.2 dB after subsequent *** reduction in noise levels was 21%during the day and 28%PDSA cycle(mean difference of−17.3 dB,P<0.01).Peak noise levels decreased from 110 dB to 88.24 dB after the *** A multifaceted intervention strategy reduced noise in the NICU by 25%over 4 *** success of this initiative emphasizes the significance of comprehensive interventions for noise reduction.

关键词： Quality improvement Noise pollution Preterm care Sound measurement Plan-Do-Study-Act

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