Infant Journal
for neonatal and paediatric healthcare professionals

Antenatal optimisation for preterm infants less than 34 weeks: a quality improvement toolkit

The British Association of Perinatal Medicine (BAPM) and the National Neonatal Audit Programme (NNAP) are collaborating on four quality improvement toolkits to support perinatal staff to implement the evidence around perinatal optimisation. This article presents the Antenatal Optimisation Toolkit. The evidence for key interventions is described alongside a quality improvement journey, which supports staff to choose improvement solutions most suitable for the local context.

Lauren Shaw
Neonatal Grid Trainee, East Deanery, Scotland

Julie-Clare Becher
Lead for Quality, BAPM and Consultant Neonatologist, Royal Infirmary of Edinburgh,

On behalf of the BAPM Antenatal Optimisation Toolkit Group

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quality improvement; QI; neonatal sepsis; drug error; family-centred care
Key points
  1. Previously at Colchester Hospital, a ‘train’ of babies would travel from the PNW to receive IVABs on the NNU.
  2. A QI initiative set out to reduce maternal and newborn separation and drug error incidents by administering IVABs on the PNW.
  3. The project improved safety and collaborative working between maternity and neonatal services.

Also published in Infant:

Development of better teamwork on a NICU using the TeamSTEPPS concept
Many transfers of care occur on a neonatal unit with the potential for conflict of opinion, which could create a challenging working environment and impact on patient safety. Using the TeamSTEPPS programme, we set out to explore the prevailing consultant culture and its impact on team members with the objective of creating a no-blame culture and promoting a supportive environment. Through the TeamSTEPPS programme and various other interventions we have achieved a strong sense of teamwork and a setting of supportive behaviour.