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首页> 外文期刊>Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine >Development of the breastfeeding quality improvement in hospitals learning collaborative in New York State
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Development of the breastfeeding quality improvement in hospitals learning collaborative in New York State

机译：在纽约州开展合作学习的医院提高母乳喂养质量

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Exclusive breastfeeding is a public health priority. A strong body of evidence links maternity care practices, based on the Ten Steps to Successful Breastfeeding, to increased breastfeeding initiation, duration and exclusivity. Despite having written breastfeeding policies, New York (NY) hospitals vary widely in reported maternity care practices and in prevalence rates of breastfeeding, especially exclusive breastfeeding, during the birth hospitalization. To improve hospital maternity care practices, breastfeeding support, and the percentage of infants exclusively breastfeeding, the NY State Department of Health developed the Breastfeeding Quality Improvement in Hospitals (BQIH) Learning Collaborative. The BQIH Learning Collaborative was the first to use the Institute for Health Care Improvement's Breakthrough Series methodology to specifically focus on increasing hospital breastfeeding support. The evidence-based maternity care practices from the Ten Steps to Successful Breastfeeding provided the basis for the Change Package and Data Measurement Plan. The present article describes the development of the BQIH Learning Collaborative. The engagement of breastfeeding experts, partners, and stakeholders in refining the Learning Collaborative design and content, in defining the strategies and interventions (Change Package) that drive hospital systems change, and in developing the Data Measurement Plan to assess progress in meeting the Learning Collaborative goals and hospital aims is illustrated. The BQIH Learning Collaborative is a model program that was implemented in a group of NY hospitals with plans to spread to additional hospitals in NY and across the country.
机译：纯母乳喂养是公共卫生的重点。强有力的证据将基于成功母乳喂养十步法的产妇护理实践与增加母乳喂养开始时间，持续时间和排他性联系起来。尽管有书面的母乳喂养政策，纽约州的医院在报告的产妇护理习惯以及分娩住院期间母乳喂养（尤其是纯母乳喂养）的患病率方面存在很大差异。为了改善医院的产妇护理习惯，母乳喂养支持以及纯母乳喂养婴儿的比例，纽约州卫生部开发了医院母乳喂养质量改进（BQIH）学习协作组织。 BQIH学习协作组织是第一个使用卫生保健改善研究所的突破系列方法来专门关注增加医院母乳喂养支持的组织。从“十个步骤到成功母乳喂养”的循证产妇护理实践为“变更计划和数据测量计划”奠定了基础。本文介绍了BQIH学习协作组织的发展。母乳喂养专家，合作伙伴和利益相关者的参与，以完善学习协作的设计和内容，定义驱动医院系统变革的策略和干预措施（变更包）以及制定数据测量计划以评估实现学习协作的进展目标和医院目标。 BQIH学习协作计划是在纽约的一些医院中实施的一项示范计划，并计划将其推广到纽约及全国各地的其他医院。

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