Perinatal Excellence to Reduce Injury in Preterm Birth (PERIPrem) through Quality Improvement

Alessandra Glover Williams*, Sam Tuvey, Hayley McBain, Noshin Menzies, Sally Hedge, Sarah Bates, Karen Luyt

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

5 Citations (Scopus)
130 Downloads (Pure)

Abstract

Perinatal Excellence to Reduce Injury in Premature Birth (PERIPrem) is an 11-element perinatal care bundle designed to improve outcomes for preterm babies, in line with the National Health Service (NHS) Long Term plan. Designed in collaboration with 12 NHS Trusts (secondary care hospitals), South West and West of England Academic Health Science Networks, South West Neonatal Operational Delivery Network, parent partners and clinical experts, implementation was via bespoke quality improvement (QI) methodology. Before project initiation, there was regional variation in uptake of elements, evidenced by baseline audit. Optimisation of the preterm infant is complex; eligibility for treatments is dependent on gestation and local policies. Preterm infants experience variability in care dependent on the place of birth, and there remains an implementation gap for several effective, evidence-based treatments.

The PERIPrem ambition is to reduce severe brain injury and death caused by prematurity by at least 50% through the delivery of a perinatal care bundle. The PERIPrem approach resulted in improved element implementation by 26% (from 3% to 29%) between 2019 and 2021, with dyads significantly more likely to receive the full bundle in 2021 compared with 2019 (probability=0.96 (95% CI 0.87 to 0.99), p
Original languageEnglish
Article number001904
Pages (from-to)1-10
JournalBMJ Open
Volume11
Issue number3
DOIs
Publication statusPublished - 9 Aug 2022

Bibliographical note

Funding Information:
In September 2020, additional funding of £500 per unit was made available via a grant from Hologic. With the help of senior staff PERIPrem leads used this money to bypass complex local procurement routes and create a range of interventions including: PERIPrem grab boxes, resources for tea trolley training, blankets, TransWarmer infant transport mattresses and Neohelp sterile polyethylene suits.

Publisher Copyright:
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.

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