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Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach

BACKGROUND: Growth of neonatal intensive care units in number and size has raised questions towards ability to maintain continuity and quality of care. Structural organization of intensive care units is known as a key element for maintaining the quality of care of these fragile patients. The reconst...

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Autores principales: el Helou, Salhab, Samiee-Zafarghandy, Samira, Fusch, Gerhard, Wahab, Muzafar Gani Abdul, Aliberti, Lynda, Bakry, Ahmad, Barnard, Deborah, Doucette, Joanne, el Gouhary, Enas, Marrin, Michael, Meyer, Carrie-Lynn, Mukerji, Amit, Nwebube, Anne, Pogorzelski, David, Pugh, Edward, Schattauer, Karen, Shah, Jay, Shivananda, Sandesh, Thomas, Sumesh, Twiss, Jennifer, Williams, Connie, Dutta, Sourabh, Fusch, Christoph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251231/
https://www.ncbi.nlm.nih.gov/pubmed/28109276
http://dx.doi.org/10.1186/s12913-017-1989-6
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author el Helou, Salhab
Samiee-Zafarghandy, Samira
Fusch, Gerhard
Wahab, Muzafar Gani Abdul
Aliberti, Lynda
Bakry, Ahmad
Barnard, Deborah
Doucette, Joanne
el Gouhary, Enas
Marrin, Michael
Meyer, Carrie-Lynn
Mukerji, Amit
Nwebube, Anne
Pogorzelski, David
Pugh, Edward
Schattauer, Karen
Shah, Jay
Shivananda, Sandesh
Thomas, Sumesh
Twiss, Jennifer
Williams, Connie
Dutta, Sourabh
Fusch, Christoph
author_facet el Helou, Salhab
Samiee-Zafarghandy, Samira
Fusch, Gerhard
Wahab, Muzafar Gani Abdul
Aliberti, Lynda
Bakry, Ahmad
Barnard, Deborah
Doucette, Joanne
el Gouhary, Enas
Marrin, Michael
Meyer, Carrie-Lynn
Mukerji, Amit
Nwebube, Anne
Pogorzelski, David
Pugh, Edward
Schattauer, Karen
Shah, Jay
Shivananda, Sandesh
Thomas, Sumesh
Twiss, Jennifer
Williams, Connie
Dutta, Sourabh
Fusch, Christoph
author_sort el Helou, Salhab
collection PubMed
description BACKGROUND: Growth of neonatal intensive care units in number and size has raised questions towards ability to maintain continuity and quality of care. Structural organization of intensive care units is known as a key element for maintaining the quality of care of these fragile patients. The reconstruction of megaunits of intensive care to smaller care units within a single operational service might help with provision of safe and effective care. METHODS/DESIGN: The clinical team and patient distribution lay out, admission and discharge criteria and interdisciplinary round model was reorganized to follow the microstructure philosophy. A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model. DISCUSSION: In depth examination of microsystem model of care in this study, provides systematic evaluation of this model on variable aspects of health care. The individual projects of this trial can be source of solid evidence for guidance of future decisions on optimized model of care for the critically ill newborns. TRIAL REGISTRATION: ClinicalTrial.gov, NCT02912780. Retrospectively registered on 22 September 2016.
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spelling pubmed-52512312017-01-26 Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach el Helou, Salhab Samiee-Zafarghandy, Samira Fusch, Gerhard Wahab, Muzafar Gani Abdul Aliberti, Lynda Bakry, Ahmad Barnard, Deborah Doucette, Joanne el Gouhary, Enas Marrin, Michael Meyer, Carrie-Lynn Mukerji, Amit Nwebube, Anne Pogorzelski, David Pugh, Edward Schattauer, Karen Shah, Jay Shivananda, Sandesh Thomas, Sumesh Twiss, Jennifer Williams, Connie Dutta, Sourabh Fusch, Christoph BMC Health Serv Res Study Protocol BACKGROUND: Growth of neonatal intensive care units in number and size has raised questions towards ability to maintain continuity and quality of care. Structural organization of intensive care units is known as a key element for maintaining the quality of care of these fragile patients. The reconstruction of megaunits of intensive care to smaller care units within a single operational service might help with provision of safe and effective care. METHODS/DESIGN: The clinical team and patient distribution lay out, admission and discharge criteria and interdisciplinary round model was reorganized to follow the microstructure philosophy. A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model. DISCUSSION: In depth examination of microsystem model of care in this study, provides systematic evaluation of this model on variable aspects of health care. The individual projects of this trial can be source of solid evidence for guidance of future decisions on optimized model of care for the critically ill newborns. TRIAL REGISTRATION: ClinicalTrial.gov, NCT02912780. Retrospectively registered on 22 September 2016. BioMed Central 2017-01-21 /pmc/articles/PMC5251231/ /pubmed/28109276 http://dx.doi.org/10.1186/s12913-017-1989-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Study Protocol
el Helou, Salhab
Samiee-Zafarghandy, Samira
Fusch, Gerhard
Wahab, Muzafar Gani Abdul
Aliberti, Lynda
Bakry, Ahmad
Barnard, Deborah
Doucette, Joanne
el Gouhary, Enas
Marrin, Michael
Meyer, Carrie-Lynn
Mukerji, Amit
Nwebube, Anne
Pogorzelski, David
Pugh, Edward
Schattauer, Karen
Shah, Jay
Shivananda, Sandesh
Thomas, Sumesh
Twiss, Jennifer
Williams, Connie
Dutta, Sourabh
Fusch, Christoph
Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title_full Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title_fullStr Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title_full_unstemmed Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title_short Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
title_sort introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5251231/
https://www.ncbi.nlm.nih.gov/pubmed/28109276
http://dx.doi.org/10.1186/s12913-017-1989-6
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