Abstract
Background: Thermoregulation and skin integrity are critical elements of neonatal safety and survival. Inconsistent monitoring of these parameters increases risks of hypothermia, hyperthermia, and skin breakdown in vulnerable neonates. Baseline audits in the NICU revealed 35% unstable temperatures, 28% skin integrity issues, and poor documentation compliance (<65%).
Methods: A quality improvement (QI) project was implemented using the FOCUS–PDCA framework from April to June 2025. Interventions included structured simulation-based training, implementation of a monitoring checklist, environmental control audits, and weekly compliance feedback. Data were analyzed using descriptive statistics.
Results: Post-implementation data demonstrated:
- Stable body temperature in 92% of neonates (↑ 27 points).
- Intact skin integrity in 91% of neonates (↑ 19 points).
- Documentation compliance improved from 62% → 96%.
- 100% of NICU staff completed training and checklist use reached 89%.
Conclusion: The structured, multidisciplinary intervention significantly improved neonatal thermoregulation, skin integrity outcomes, and staff compliance. Sustaining gains requires continuous education, regular audits, and equipment maintenance.