Implementation of a Novel Tool to Collect Milk Feeding Data on Infants in Primary Care Clinics.

Autor:	Maradiaga Panayotti GM; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Miner DS; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.; Duke Health Technology Solutions, Durham, NC, USA., Hannon EA; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Kay MC; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.; Duke Center for Childhood Obesity Research, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Shaikh SK; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Jooste KR; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Erickson E; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA., Kovarik T; HealthPartners Como Clinic, St. Paul, MN, USA., Wood CT; Division of General Pediatrics and Adolescent Health, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.; Duke Center for Childhood Obesity Research, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Jazyk:	angličtina
Zdroj:	Clinical pediatrics [Clin Pediatr (Phila)] 2022 Nov; Vol. 61 (11), pp. 768-775. Date of Electronic Publication: 2022 Jun 06.
DOI:	10.1177/00099228221101002
Abstrakt:	We aimed to capture milk feeding type in real time in a racially and socioeconomically diverse population. An electronic tool to assess milk feeding type at every medical visit for children aged 0 to 2 years was designed and incorporated into nursing workflows. The Milk Box tool was successfully added to the electronic clinical workspace of a large health system. There were eight clinics, with diverse characteristics, which incorporated the use of the Milk Box tool over 12 months. Time to 50% uptake of Milk Box varied from 3 to 5 months. Time to >80% uptake varied from 6 to 8 months. Our results show that Milk Box can be quickly incorporated into a clinical workflow when the team is given appropriate training and support. The tool also allows a primary care practice to study local breast milk consumption trends and to provide both individualized and system-level lactation support.
Databáze:	MEDLINE
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