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H4B - Failure Mode and Effect Analysis: Interpretation of Critical Congenital Heart Disease (CCHD) Screening Algorithms

Wednesday, June 17, 2015 : 8:45 AM

Title: H4B - Failure Mode and Effect Analysis: Interpretation of Critical Congenital Heart Disease (CCHD) Screening Algorithms

Room 101 (Long Beach Convention Center)
Kathleen Moline, MA, BSN, RN , Office of Family and Health Services, Virginia Department of Health, Richmond, VA
Elizabeth B. Mikula, MSN, RN, CPN , Quality Management, HCA Henrico Doctors’ Hospital, Richmond, VA
Michelle R. Morris, MPH , Division of Policy & Evaluation, Virginia Department of Health, Richmond, VA
Christen Strickler, RN, RPSGT , CCHD Newborn Screening Program, Virginia Department of Health, Richmond, VA

Discipline: Newborn Care (N), Professional Issues (PI)

Learning Objectives:
  • Explain screening eligibility guidelines for Critical Congenital Heart Disease (CCHD) Screening; Identify safe and correct methods for performing pulse oximetry on an infant; and Describe critical pulse oximetry screening results.
  • Apply the process of a failure mode and effects analysis (FMEA) to newborn screening procedures such as CCHD screening
  • Develop at least 2 action steps based on findings from FMEA

    • Submission Description:
    Modified versions of an evidence-based screening tool based on the American Association of Pediatrics (AAP) algorithm for critical congenital heart disease (CCHD) have been distributed throughout several states but have not been validated for accuracy. The purpose of this quality improvement study was to conduct a failure mode and effect analysis (FMEA) of the AAP’s original standardized CCHD algorithm and screening tool. Findings from the study led to the creation of an enhanced visual tool based on the AAP algorithm proven to improve accuracy of interpretation of CCHD screening results and ease of use for healthcare providers. This tool is currently being disseminated among all birth hospitals in the Commonwealth of Virginia to improve and assist with the implementation of a statewide CCHD screening program.

    See more of: H4 - Oral Presentations on Newborn Topics
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    The Association of Women's Health, Obstetric and Neonatal Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.