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Variability in the systems of care supporting critical neonatal intensive care unit transitions

OBJECTIVE: Assess practices supporting care transitions for infants and families in the neonatal intensive care unit (NICU) using a model of four key drivers: communication, teamwork, family integration, and standardization. STUDY DESIGN: Single-day audit among NICUs in the Vermont Oxford Network Cr...

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Autores principales: Kaplan, Heather C., Edwards, Erika M., Soll, Roger F., Morrow, Kate A., Meyers, Jeffrey, Timpson, Wendy, Cohen, Howard, Fry, Marybeth, Schierholz, Elizabeth, Buus-Frank, Madge E., Horbar, Jeffrey D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359434/
https://www.ncbi.nlm.nih.gov/pubmed/32665688
http://dx.doi.org/10.1038/s41372-020-0720-3
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author Kaplan, Heather C.
Edwards, Erika M.
Soll, Roger F.
Morrow, Kate A.
Meyers, Jeffrey
Timpson, Wendy
Cohen, Howard
Fry, Marybeth
Schierholz, Elizabeth
Buus-Frank, Madge E.
Horbar, Jeffrey D.
author_facet Kaplan, Heather C.
Edwards, Erika M.
Soll, Roger F.
Morrow, Kate A.
Meyers, Jeffrey
Timpson, Wendy
Cohen, Howard
Fry, Marybeth
Schierholz, Elizabeth
Buus-Frank, Madge E.
Horbar, Jeffrey D.
author_sort Kaplan, Heather C.
collection PubMed
description OBJECTIVE: Assess practices supporting care transitions for infants and families in the neonatal intensive care unit (NICU) using a model of four key drivers: communication, teamwork, family integration, and standardization. STUDY DESIGN: Single-day audit among NICUs in the Vermont Oxford Network Critical Transitions collaborative addressing policies and practices supporting the four key drivers during admission, discharge, shift-to-shift handoffs, within hospital transfers, and select changes in clinical status. RESULTS: Among 95 NICUs, the median hospital rate of audited policies in place addressing the four key drivers were 47% (inter-quartile range (IQR) 35–65%) for communication, 67% (IQR 33–83%) for teamwork, 50% (IQR 33–61%) for family integration, and 70% (IQR 56–85%) for standardization. Of the 2462 infants included, 1066 (43%) experienced ≥1 specified transition during the week prior to the audit. CONCLUSIONS: We identified opportunities for improving NICU transitions in areas of communication, teamwork, family integration, and standardization.
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spelling pubmed-73594342020-07-15 Variability in the systems of care supporting critical neonatal intensive care unit transitions Kaplan, Heather C. Edwards, Erika M. Soll, Roger F. Morrow, Kate A. Meyers, Jeffrey Timpson, Wendy Cohen, Howard Fry, Marybeth Schierholz, Elizabeth Buus-Frank, Madge E. Horbar, Jeffrey D. J Perinatol Article OBJECTIVE: Assess practices supporting care transitions for infants and families in the neonatal intensive care unit (NICU) using a model of four key drivers: communication, teamwork, family integration, and standardization. STUDY DESIGN: Single-day audit among NICUs in the Vermont Oxford Network Critical Transitions collaborative addressing policies and practices supporting the four key drivers during admission, discharge, shift-to-shift handoffs, within hospital transfers, and select changes in clinical status. RESULTS: Among 95 NICUs, the median hospital rate of audited policies in place addressing the four key drivers were 47% (inter-quartile range (IQR) 35–65%) for communication, 67% (IQR 33–83%) for teamwork, 50% (IQR 33–61%) for family integration, and 70% (IQR 56–85%) for standardization. Of the 2462 infants included, 1066 (43%) experienced ≥1 specified transition during the week prior to the audit. CONCLUSIONS: We identified opportunities for improving NICU transitions in areas of communication, teamwork, family integration, and standardization. Nature Publishing Group US 2020-07-14 2020 /pmc/articles/PMC7359434/ /pubmed/32665688 http://dx.doi.org/10.1038/s41372-020-0720-3 Text en © The Author(s), under exclusive licence to Springer Nature America, Inc. 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Kaplan, Heather C.
Edwards, Erika M.
Soll, Roger F.
Morrow, Kate A.
Meyers, Jeffrey
Timpson, Wendy
Cohen, Howard
Fry, Marybeth
Schierholz, Elizabeth
Buus-Frank, Madge E.
Horbar, Jeffrey D.
Variability in the systems of care supporting critical neonatal intensive care unit transitions
title Variability in the systems of care supporting critical neonatal intensive care unit transitions
title_full Variability in the systems of care supporting critical neonatal intensive care unit transitions
title_fullStr Variability in the systems of care supporting critical neonatal intensive care unit transitions
title_full_unstemmed Variability in the systems of care supporting critical neonatal intensive care unit transitions
title_short Variability in the systems of care supporting critical neonatal intensive care unit transitions
title_sort variability in the systems of care supporting critical neonatal intensive care unit transitions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7359434/
https://www.ncbi.nlm.nih.gov/pubmed/32665688
http://dx.doi.org/10.1038/s41372-020-0720-3
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