Abstract
This quality improvement initiative was undertaken in a tertiary care neonatal intensive care unit (NICU) of All India Institute of Medical Sciences (AIIMS), New Delhi to improve the quality of discharge counselling covering all post-natal mothers and reducing the unnecessary follow-up visits of the neonates admitted between June 2016 to December 2016 in the Follow-up clinic. A team was formulated to evaluate the reasons for poor or no discharge counselling and unnecessary neonatal follow-up visits and to plan further strategies for improving the quality of discharge counselling. Multiple PDSA cycles were implemented. The results of the all PDSA cycles were discussed amongst the team members. At the end of the study, all mothers started receiving standardised discharge counselling in 3 months time. Less number of mothers reported with minor neonatal problems. However, no reduction in the number of unnecessary follow-up visits of neonates was observed, but a change was observed in the neonatal problems. Thus, multiple simple feasible interventions led to the improvement in quality of discharge counseling.
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