Objective To accurately identify the key needs to improve the quality of transport treatment for critical-ly newborns with congenital diaphragmatic hernia(CDH),and put forward targeted improvement strategies.Methods Questionnaire survey and semi-structured interview were conducted with 25 experts from a critical newborn treat-ment center and neonatal transfer institution.Based on Quality Function Development(QFD),SERVQUAL service qual-ity model was used for reference,affinity diagram(KJ)method was used to stratify quality improvement needs,and the importance of needs was determined by Analytical Hierarchy Process(AHP)to create a house of quality.The two-di-mensional relationship matrix of quality improvement demand and quality improvement measures was constructed.Re-sults The measures to improve the quality of CDH transport treatment for critically ill newborns included improving the management work plan,establishing the multi-disciplinary treatment(MDT)mechanism,anesthesiologists participat-ing in the transport,establishing the internal and surgical transport team,and optimizing the transport treatment work flow.After implementation,the postoperative mortality of critically ill newborns with CDH was reduced to 10.34%,and the clinical cure rate was increased to 81.25%.Conclusion The application of QFD could identify the key factors af-fecting the quality of transport treatment of critically ill newborns with CDH,and improve the quality of treatment.
Quality Function Deployment(QFD)Congenital Diaphragmatic Hernia(CDH)Critically Ill NewbornTransportMulti-DisciplinaryTreatment
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