OBJECTIVE: Neonatal care providers from 5 institutions formed a multidisciplinary focus group with the purpose of identifying potentially better practices, the implementation of which would lead to a reduction in the incidence of intracranial hemorrhage and periventricular leukomalacia in very low birth weight infants. METHODS: Practices were analyzed, 4 benchmark neonatal intensive care units were identified and evaluated, and the literature was assessed using an evidence-based approach. The work was also reviewed by a nationally respected expert. RESULTS: Ten potentially better clinical practices were identified. In addition, variability in cranial ultrasound practice, related to both procedural process and interpretation, was identified as a confounding problem in evaluating quality. Using the same process, potentially better cranial ultrasound practices were also identified. CONCLUSIONS: Implementation of these practices will improve clinical outcomes as well as the reliability of sonogram interpretation, the basis for evaluating the quality of the team's work.
OBJECTIVE: Neonatal care providers from 5 institutions formed a multidisciplinary focus group with the purpose of identifying potentially better practices, the implementation of which would lead to a reduction in the incidence of intracranial hemorrhage and periventricular leukomalacia in very low birth weight infants. METHODS: Practices were analyzed, 4 benchmark neonatal intensive care units were identified and evaluated, and the literature was assessed using an evidence-based approach. The work was also reviewed by a nationally respected expert. RESULTS: Ten potentially better clinical practices were identified. In addition, variability in cranial ultrasound practice, related to both procedural process and interpretation, was identified as a confounding problem in evaluating quality. Using the same process, potentially better cranial ultrasound practices were also identified. CONCLUSIONS: Implementation of these practices will improve clinical outcomes as well as the reliability of sonogram interpretation, the basis for evaluating the quality of the team's work.
Authors: Manuel B Schmid; Frank Reister; Benjamin Mayer; Reinhard J Hopfner; Hans Fuchs; Helmut D Hummler Journal: Dtsch Arztebl Int Date: 2013-07-22 Impact factor: 5.594
Authors: Zachary A Vesoulis; Janine Rhoades; Pournika Muniyandi; Shayna Conner; Alison G Cahill; Amit M Mathur Journal: J Matern Fetal Neonatal Med Date: 2017-04-20
Authors: Vivek V Shukla; Andrew Klinger; Siamak Yazdi; A K M Fazlur Rahman; Sydney Wright; Angela Barganier; Namasivayam Ambalavanan; Waldemar A Carlo; Manimaran Ramani Journal: J Perinatol Date: 2022-07-01 Impact factor: 3.225