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DMAIC Approach for the Reduction of Healthcare-Associated Infections in the Neonatal Intensive Care Unit of the University Hospital of Naples ‘Federico II’

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8th European Medical and Biological Engineering Conference (EMBEC 2020)

Part of the book series: IFMBE Proceedings ((IFMBE,volume 80))

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  • The original version of this chapter was revised: The author’s (Eliana Raiola) street number has been updated from “Via Cardarelli 8” to “Via Cardarelli 9”. The correction to this chapter is available at https://doi.org/10.1007/978-3-030-64610-3_131

Abstract

Improvements in the obstetrical and neonatal management have allowed children to survive. These enhancements have showed, anyway, a general increased incidence of healthcare-associated infections, one of the most influent causes of morbidity and mortality in neonatal intensive care units. The aim of this paper is to suggest corrective measures to reduce sentinel germs colonization and identify the relationships between bacteria colonization with the number of procedures and the length of hospital stay. The Lean Six Sigma methodology was used to tackle this issue using a tailored Define, Measure, Analyze, Improve, and Control problem-solving strategy. An increased number of procedures and an extended length of hospital stay demonstrated a statistically significant influence on newborns’ possibility to be infected by sentinel germs. These findings could guide the clinical staff to improve the management of neonates in neonatal intensive care units reducing the number of infected patients, their length of hospital stay and the costs for the hospital.

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Change history

  • 11 May 2021

    In Chapter 76, one of the chapter author’s surname has been changed from “Federica Amintrano” to “Federica Amitrano”.

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Author information

Authors and Affiliations

  1. Center for Advanced Biomaterials for Healthcare (CABHC), Istituto Italiano di Tecnologia, Largo Barsanti e Matteucci 53, 80125, Naples, Italy

    Giuseppe Cesarelli

  2. Department of Public Health, University Hospital of Naples ‘Federico II’, Via Pansini 5, 80131, Naples, Italy

    Emma Montella, Arianna Scala, Maria Triassi & Giovanni Improta

  3. Cardarelli Hospital – Hospital Management, Via Cardarelli 9, 80131, Naples, Italy

    Eliana Raiola

  4. Interdepartmental Center for Research in Healthcare Management and Innovation in Healthcare (CIRMIS), University of Naples ‘Federico II’, Via Pansini 5, 80131, Naples, Italy

    Maria Triassi & Giovanni Improta

Authors
  1. Giuseppe Cesarelli
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  2. Emma Montella
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  3. Arianna Scala
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  4. Eliana Raiola
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  5. Maria Triassi
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  6. Giovanni Improta
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Corresponding author

Correspondence to Giuseppe Cesarelli .

Editor information

Editors and Affiliations

  1. Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia

    Tomaz Jarm

  2. Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia

    Aleksandra Cvetkoska

  3. Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia

    Samo Mahnič-Kalamiza

  4. Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia

    Damijan Miklavcic

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Cesarelli, G., Montella, E., Scala, A., Raiola, E., Triassi, M., Improta, G. (2021). DMAIC Approach for the Reduction of Healthcare-Associated Infections in the Neonatal Intensive Care Unit of the University Hospital of Naples ‘Federico II’. In: Jarm, T., Cvetkoska, A., Mahnič-Kalamiza, S., Miklavcic, D. (eds) 8th European Medical and Biological Engineering Conference. EMBEC 2020. IFMBE Proceedings, vol 80. Springer, Cham. https://doi.org/10.1007/978-3-030-64610-3_48

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  • DOI: https://doi.org/10.1007/978-3-030-64610-3_48

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64609-7

  • Online ISBN: 978-3-030-64610-3

  • eBook Packages: EngineeringEngineering (R0)

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