Literature DB >> 21052046

Who is performing medical procedures in the neonatal intensive care unit?

Y F Gozzo1, C L Cummings, R L Chapman, M J Bizzarro, M R Mercurio.   

Abstract

OBJECTIVE: Owing to resident work-hour reductions and more permanent personnel in the newborn intensive care unit (NICU), we sought to determine if pediatric housestaff are missing learning opportunities in procedural training due to non-participation. STUDY
DESIGN: A prospective, observational study was conducted at an academic NICU using self-reported data from neonatal personnel after attempting 188 procedures on 109 neonates, and analyzed using Fisher's exact and χ (2)-tests. RESULT: Housestaff first attempted 32% of procedures (P<0.001) and were less likely to make attempts early in the academic year (P<0.001). There was no significant difference in attempts based on urgency of situation (P=0.742). Of procedures performed by non-housestaff personnel, 93% were completed while housestaff were present elsewhere in the unit.
CONCLUSION: Pediatric housestaff performed the minority of procedures in the NICU, even in non-urgent situations, and were often uninvolved in other procedures, representing missed learning opportunities.

Mesh:

Year:  2010        PMID: 21052046     DOI: 10.1038/jp.2010.121

Source DB:  PubMed          Journal:  J Perinatol        ISSN: 0743-8346            Impact factor:   2.521


  11 in total

1.  Effect of procedure simulation workshops on resident procedural confidence and competence.

Authors:  Erin M Augustine; Madelyn Kahana
Journal:  J Grad Med Educ       Date:  2012-12

2.  Neonatal Intubation Practice and Outcomes: An International Registry Study.

Authors:  Elizabeth E Foglia; Anne Ades; Taylor Sawyer; Kristen M Glass; Neetu Singh; Philipp Jung; Bin Huey Quek; Lindsay C Johnston; James Barry; Jeanne Zenge; Ahmed Moussa; Jae H Kim; Stephen D DeMeo; Natalie Napolitano; Vinay Nadkarni; Akira Nishisaki
Journal:  Pediatrics       Date:  2018-12-11       Impact factor: 7.124

3.  Factors Associated with Adverse Events during Tracheal Intubation in the NICU.

Authors:  Elizabeth E Foglia; Anne Ades; Natalie Napolitano; Jessica Leffelman; Vinay Nadkarni; Akira Nishisaki
Journal:  Neonatology       Date:  2015-05-06       Impact factor: 4.035

4.  Effect of training using high-versus low-fidelity simulator mannequins on neonatal intubation skills of pediatric residents: a randomized controlled trial.

Authors:  Heidi Al-Wassia; Maha Bamehriz; Gamal Atta; Hamada Saltah; Abeer Arab; Abdulaziz Boker
Journal:  BMC Med Educ       Date:  2022-06-25       Impact factor: 3.263

5.  Impact of Physician Training Level on Neonatal Tracheal Intubation Success Rates and Adverse Events: A Report from National Emergency Airway Registry for Neonates (NEAR4NEOS).

Authors:  Lindsay Johnston; Taylor Sawyer; Anne Ades; Ahmed Moussa; Jeanne Zenge; Philipp Jung; Stephen DeMeo; Kristen Glass; Neetu Singh; Alexandra Howlett; Justine Shults; James Barry; Brianna Brei; Elizabeth Foglia; Akira Nishisaki
Journal:  Neonatology       Date:  2021-06-10       Impact factor: 5.106

6.  A Simulation-based Quality Improvement Approach to Improve Pediatric Resident Competency with Required Procedures.

Authors:  Michelle Starr; Taylor Sawyer; Maya Jones; Maneesh Batra; Heather McPhillips
Journal:  Cureus       Date:  2017-06-03

7.  Endotracheal intubation skills of pediatricians versus anesthetists in neonates and children.

Authors:  Sam J van Sambeeck; Sander M J van Kuijk; Boris W Kramer; Petronella M Vermeulen; Gijs D Vos
Journal:  Eur J Pediatr       Date:  2019-06-08       Impact factor: 3.183

8.  Simulated Umbilical Venous Catheter Placement Improves Resident Competence and Confidence.

Authors:  Courtney Haviland; Alexandra Lucas; Yih-Chieh Chen; Jonathan Paolino; Kristina Dzara; Ariel S Frey-Vogel
Journal:  Cureus       Date:  2020-10-05

9.  Realism of procedural task trainers in a pediatric emergency medicine procedures course.

Authors:  Allan Shefrin; Afshin Khazei; Adam Cheng
Journal:  Can Med Educ J       Date:  2015-04-20

10.  A simulation procedure curriculum to increase pediatric resident exposure to procedures rarely performed in clinical practice.

Authors:  Meera S Meerkov; Jason B Fischer; Thomas G Saba
Journal:  Med Educ Online       Date:  2019-12
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