{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:20:55Z","timestamp":1759566055014,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To achieve the National Neonatal Audit Programme (NNAP) standard of 90% normothermia among preterm infants born under 30\u00a0weeks of gestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Project SHIP (Stopping Hypothermia In Premmies) was a quality improvement programme to improve admission normothermia. Phase 1 of the project implemented low\u2010fidelity simulations during 2011\u20132016. In Phase 2 (2017), a multimodal approach to quality improvement was used, including in situ simulations, videos of simulated scenarios, an allocated team member for thermal care, a clear protocol for thermal care, a coordinating \u2018lollipop man\u2019 role and monthly performance feedback. Additionally, continuous temperature monitoring using servo\u2010control during stabilisation was introduced during Phase 2. Phase 3 (2018\u20132019) focused on embedding practice and maintaining performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Phase 1 initiatives resulted in improvement of normothermia rates from 58% to 75%. However, the results plateaued. During Phase 2, the hypothermia rate fell from 16% to 3%. During Phase 3, this improvement in the hypothermia rate was sustained, achieving the standard of 90% normothermia in 2018 and falling just short in 2019 due to an increased hyperthermia rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A multimodal quality improvement approach achieved sustained improvement in normothermia. Continuous temperature monitoring during stabilisation allows resuscitating teams to plan interventions to treat hypothermia and hyperthermia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16009","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T17:05:58Z","timestamp":1624986358000},"page":"2745-2752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A multimodal quality improvement approach to promote normothermia in very preterm infants"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3549-3813","authenticated-orcid":false,"given":"Aneurin","family":"Young","sequence":"first","affiliation":[{"name":"Department of Neonatal Medicine and Surgery NIHR Southampton Biomedical Research Centre Princess Anne Hospital Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fameesh","family":"Azeez","sequence":"additional","affiliation":[{"name":"Department of Neonatal Medicine and Surgery Princess Anne Hospital Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6898-0776","authenticated-orcid":false,"given":"Santan Pawalu","family":"Godad","sequence":"additional","affiliation":[{"name":"Department of Neonatal Medicine and Surgery Princess Anne Hospital Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preethish","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Royal Hampshire County Hospital Winchester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alok","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neonatal Medicine and Surgery Princess Anne Hospital Southampton Southampton UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","first-page":"CD004210","article-title":"Interventions to prevent hypothermia at birth in preterm and\/or low birth weight infants","volume":"2","author":"McCall EM","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2010.177"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.09.049"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0943"},{"key":"e_1_2_10_6_1","unstructured":"NNAP.Royal College for Paediatrics and Child Health. 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