A quality improvement initiative to reduce the time to initial maternal visit in the neonatal intensive care unit.

Autor: Nandula PS; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA. padma.nandula@jax.ufl.edu., Buckelew A; Division of Pediatric Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, USA., Cortez J; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Snyder D; Carithers Pediatric Group, Jacksonville, FL, USA., Smith T; Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Aderhold A; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA.; Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA.; Department of Emergency Medicine, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Meyers J; Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Garber M; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Shah SD; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Webb LK; Department of Emergency Medicine, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA., Hudak ML; Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Mar; Vol. 44 (3), pp. 446-451. Date of Electronic Publication: 2023 Jul 20.
DOI: 10.1038/s41372-023-01726-0
Abstrakt: Objective: We aimed to reduce the time interval between an infant's admission to the Neonatal Intensive Care Unit (NICU) and first maternal interaction.
Methods: We identified three key drivers: 1. Collaboration with Labor and Delivery, 2. Education of staff and parents, and 3. Improved documentation of maternal presence. We measured the time interval from NICU admission to the initial maternal presence. We followed length of stay as a balancing measure to assay whether use of remote televisitation impeded efficient parental teaching and delayed discharge.
Results: We reduced the time interval from an average of 19.7 h in February 2020 to 12.3 h in June 2021. We expanded an already existing televisitation program as a surrogate to in-person interaction during COVID-19 pandemic. Televisitation did not affect in-person parental presence or LOS.
Conclusion: Our multidisciplinary efforts resulted in a significantly accelerated time to initial maternal presence and did not prolong LOS.
(© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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