A Quality Improvement Project to Decrease Human Milk Errors in the NICU

Oza-Frank, Reena; Kachoria, Rashmi; Dail, James; Green, Jasmine; Walls, Krista; McClead, Richard E.

doi:10.1542/peds.2015-4451

Cited by 28 publications

(20 citation statements)

References 23 publications

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“…An EN order set that includes these details for the diet order and orders for laboratory monitoring, assessment of tolerance, and consults could be developed by organizations . Implementation of scanning software with the EHR would increase the accuracy of delivering the right product to the right patient at the right time, as has been demonstrated in the neonatal intensive care unit and children's hospitals …”

Section: Nutrition Care Plan and Interventionmentioning

confidence: 99%

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

Kight

Bouche

Curry³

et al. 2019

Nut in Clin Prac

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Provision of nutrition care is vital to the health and well-being of any patient who enters the health care system, whether in the ambulatory, inpatient, or long-term care setting. Interdisciplinary professionals-nurses, physicians, advanced practice providers, pharmacists, and dietitians-identify and treat nutrition problems or clinical conditions in each of these health care settings. The documentation of nutrition care in a structured format from screening and assessment to discharge allows communication of the nutrition treatment plans. The goal of this document is to provide recommendations to clinicians for working with an organization's Information Systems department to create tools for documentation of nutrition care in the electronic health record. These recommendations can also serve as guidance for health care organizations choosing and implementing health care software. (Nutr Clin Pract. 2020;35:12-23)

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Section: Nutrition Care Plan and Interventionmentioning

confidence: 99%

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

Kight

Bouche

Curry³

et al. 2019

Nut in Clin Prac

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“…Oza-Frank et al 45 have tested the effectiveness of a quality improvement initiative to reduce human milk errors in a large NICU over a period of 6 years. During this period, they noted errors regarding human milk.…”

Section: Breast Milk Nutritionmentioning

confidence: 99%

"Quality improvement initiatives in neonatal intensive care unit (NICU) for improved care outcomes- a review of evidence"

El-Atawi¹,

Elhalik²,

Dash³

2019

JPNC

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This review mainly focuses on the identification of preventable causes of negative neonatal outcomes in the NICUs, and reviews the currently available evidence on the interventions implemented to prevent these causes. Methods An extensive literature search was conducted for the English language articles in the EMBASE and MEDLINE databases. A total of 300 articles were retrieved with the keyword search. Further attempts were made to search the reference lists of retrieved articles to identify the relevant studies. An internet database search was made to include all articles. The keywords used to retrieve this data were 'quality improvement', 'quality initiatives', 'neonatal outcomes', 'health outcomes', 'care outcomes', 'neonatal intensive care unit', 'NICU', 'preterm infants', 'preterm neonates', 'low birth weight infants', 'low birth weight neonates', 'quality team', 'quality intervention', 'premature infants', 'premature neonates'.

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“…Hepatitis B and C will not spread through breast milk unless there is contamination with blood. Infants receive a hepatitis B vaccine shortly after they are born and thus would be protected …”

Section: Risk Domainsmentioning

confidence: 99%

“…The pain and suffering for the families will also have monetary consequences and decrease the return on investment. Health Insurance Portability and Accountability Act (HIPAA) fines $25,000 per incident, and breast milk errors are considered as a HIPAA breach …”

Section: Risk Domainsmentioning

confidence: 99%

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Introduction of enterprise risk management in neonatal intensive care unit to reduce breast milk errors

Shareef

Youngberg²

2019

J of Healthc Risk Manag

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Preterm infants born before 34 weeks gestation are unable to feed by mouth. Mothers of these preterm infants are thus asked to pump breast milk to be fed to infants through a nasogastric tube. Each mother's pumped breast milk must be carefully labelled and stored so that it is not fed to the wrong baby during the infants stay in the neonatal intensive care unit, which can range from days to months. All hospitals have strict policies and procedures in place to ensure infants are fed their mother's milk but still occasional errors are reported. We looked at the effect of introducing the enterprise risk management method in preventing breast milk errors in our neonatal intensive care unit.

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A Quality Improvement Project to Decrease Human Milk Errors in the NICU

Abstract: By reducing the number of errors scanned, the number of opportunities for errors also decreased. Interventions that likely had the greatest impact on reducing the number of scanned errors included installation of bedside (versus centralized) scanners and dedicated staff to handle milk.

Cited by 28 publications

References 23 publications

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

Consensus Recommendations for Optimizing Electronic Health Records for Nutrition Care

"Quality improvement initiatives in neonatal intensive care unit (NICU) for improved care outcomes- a review of evidence"

Introduction of enterprise risk management in neonatal intensive care unit to reduce breast milk errors

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