Infant Journal
for neonatal and paediatric healthcare professionals

The impact of a local QI project to avoid hypothermia and maintain normothermia in preterm infants following delivery

Maintaining normothermia reduces morbidity and mortality of preterm infants. The aim of this quality improvement (QI) project was to improve compliance with the National Neonatal Audit Programme (NNAP) standard of >90% of infants born at <32 weeks’ gestation having an admission temperature of 36.5-37.5°C. The project assesses outcomes in a tertiary medical neonatal intensive care unit before and after introducing a set of improvement measures, and reports the long-term sustainability since the initial project completed.

Ceri Murphy
Neonatal Grid Trainee

Laura Kelly
Beya Obe Bonse
Rachel Job-Vinu
Silvy Koshy
Mina Wanti

Practice Development Nurses

Claire Howarth
Neonatal Consultant

Neonatal Intensive Care Unit, Homerton University Hospital, London

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hypothermia; normothermia; quality improvement; NNAP
Key points
  1. Simple measures are effective at ensuring normothermia, but units must specifically examine why they are not meeting targets before implementing improvement measures.
  2. Keeping up awareness and educating the whole team is key to success. Having motivated champions to maintain momentum and feeding back results quickly enables sustainability.