Development of the NEC-Zero Toolkit: Supporting Reliable Implementation of Necrotizing Enterocolitis Prevention and Recognition
| Autor: | Erin Umberger, Christina Wyles, Claire Bethel, Marita G. Titler, Katherine M. Newnam, Megan Quinn, Sheila M. Gephart, Jennifer Canvasser, Caroline Porter |
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| Rok vydání: | 2019 |
| Předmět: |
Risk awareness
Male Computer science Collaborative Care Infant Premature Diseases Patient Advocacy Critical Care and Intensive Care Medicine Critical Care Nursing 03 medical and health sciences 0302 clinical medicine Enterocolitis Necrotizing Risk Factors 030225 pediatrics Intensive Care Units Neonatal medicine Humans Infant Very Low Birth Weight 030212 general & internal medicine Family engagement Structured communication Protocol (science) Infant Newborn General Medicine medicine.disease Quality Improvement Checklist Early Diagnosis Pediatrics Perinatology and Child Health Necrotizing enterocolitis Female Medical emergency Stewardship Infant Premature |
| Zdroj: | Neonatal network : NN. 39(1) |
| ISSN: | 1539-2880 |
| Popis: | The goal of the NEC-Zero project is to reduce the burden of necrotizing enterocolitis (NEC) by increasing access to evidence-based tools to help clinicians and parents integrate evidence into daily care. It involves (a) human milk feeding with prioritized mother's own milk; (b) use of a unit-adopted standardized feeding protocol; (c) a unit-adopted strategy for timely recognition that integrates risk awareness and a structured communication tool when symptoms develop; and (d) stewardship of empiric antibiotics and avoidance of antacids. A toolkit for caregivers and parents was developed to make implementation consistent. For clinicians the toolkit includes: the GutCheckNECrisk score, a structured communication tool, the “Avoiding NEC” checklist, and the NEC-Zero website. For parents, NEC-Zero tools include the website, three educational brochures in English and Spanish, and a collaborative care video produced with the NEC Society. This article describes the toolkit and how it has been accessed and used. |
| Databáze: | OpenAIRE |
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