Literature DB >> 35832904

Application of the Plan-Do-Check-Act Cycle in Shortening the Decision to Delivery Interval Time.

Ming-Na Lu1, Bai-Lei Zhang1, Qiao-Hong Dai1, Xian-Hu Fu1.   

Abstract

Objective: To discuss the application value of the plan-do-check-act (PDCA) cycle in shortening the decision to delivery interval (DDI) time.
Methods: A total of 106 DDI cases from the Ningbo Women and Children's Hospital (China) from January 2019 to December 2020 were selected as the subjects of this study. The causes for the prolongation of DDI were analyzed and protocols were developed. Through continuous summaries and improvement, a standardized process was established to direct clinical application, ie, the PDCA cycle.
Results: The DDI was shortened from 14.26 min in 2019 to 12.18 min in 2020 and the neonatal asphyxia rate significantly decreased from 34.69% in 2019 to 12.50% in 2020 (P < 0.05).
Conclusion: The PDCA cycle management mode effectively shortened the DDI time and reduced the neonatal asphyxia rate, without increasing adverse maternal outcomes.
© 2022 Lu et al.

Entities:  

Keywords:  DDI; PDCA cycle; asphyxia; emergency C-delivery; neonatal

Year:  2022        PMID: 35832904      PMCID: PMC9271685          DOI: 10.2147/RMHP.S362420

Source DB:  PubMed          Journal:  Risk Manag Healthc Policy        ISSN: 1179-1594


  14 in total

1.  ACOG practice bulletin. Vaginal birth after previous cesarean delivery. Number 5, July 1999 (replaces practice bulletin number 2, October 1998). Clinical management guidelines for obstetrician-gynecologists. American College of Obstetricians and Gynecologists.

Authors: 
Journal:  Int J Gynaecol Obstet       Date:  1999-08       Impact factor: 3.561

2.  National cross sectional survey to determine whether the decision to delivery interval is critical in emergency caesarean section.

Authors:  Jane Thomas; Shantini Paranjothy; David James
Journal:  BMJ       Date:  2004-03-15

Review 3.  Management of cardiac arrest in pregnancy: a systematic review.

Authors:  Farida M Jeejeebhoy; Carolyn M Zelop; Rory Windrim; Jose C A Carvalho; Paul Dorian; Laurie J Morrison
Journal:  Resuscitation       Date:  2011-05-06       Impact factor: 5.262

4.  Decision-delivery intervals: Impact of a colour code protocol for emergency caesareans.

Authors:  Marine Le Mitouard; Laurent Gaucher; Cyril Huissoud; Pascal Gaucherand; René-Charles Rudigoz; Corinne Dupont; Marion Cortet
Journal:  Eur J Obstet Gynecol Reprod Biol       Date:  2019-12-28       Impact factor: 2.435

5.  [Introduction and PDCA-Management of a Liaison-Clinical Pathway with Cancer Patients after a Curative Operation].

Authors:  Aiko Ueda; Takuya Saito; Mioko Ueda; Takeshi Ijichi; Takumi Nakatsuka; Junya Matsumoto; Yoko Yamaga; Hidehiko Hishikawa; Hironori Tanaka; Yoshito Tanaka; Keigo Yamamichi
Journal:  Gan To Kagaku Ryoho       Date:  2015-10

6.  The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome.

Authors:  Eran Weiner; Jacob Bar; Nataly Fainstein; Avi Ben-Haroush; Oscar Sadan; Abraham Golan; Michal Kovo
Journal:  Am J Obstet Gynecol       Date:  2014-03       Impact factor: 8.661

7.  Urgency of caesarean section: a new classification.

Authors:  D N Lucas; S M Yentis; S M Kinsella; A Holdcroft; A E May; M Wee; P N Robinson
Journal:  J R Soc Med       Date:  2000-07       Impact factor: 5.344

8.  Bradycardia-to-delivery interval and fetal outcomes in umbilical cord prolapse.

Authors:  Lo Wong; Wing T Tse; Chit Y Lai; Annie S Y Hui; Piya Chaemsaithong; Daljit S Sahota; Liona C Poon; Tak Y Leung
Journal:  Acta Obstet Gynecol Scand       Date:  2020-09-14       Impact factor: 3.636

9.  Evaluating the Decision-to-Delivery Interval in Emergency Cesarean Sections and its Impact on Neonatal Outcome.

Authors:  Janna-Alica Brandt; Bernd Morgenstern; Fabinshy Thangarajah; Berthold GrÜttner; Sebastian Ludwig; Christian Eichler; Jessika Ratiu; Peter Mallmann; Dominik Ratiu
Journal:  In Vivo       Date:  2020 Nov-Dec       Impact factor: 2.155

10.  Surgical suture course for dental students with the Peyton-4-step approach versus the PDCA cycle using video assisted self-monitoring.

Authors:  A Leitmann; Siegmar Reinert; Hannes Weise
Journal:  BMC Oral Health       Date:  2020-12-30       Impact factor: 2.757

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.