Delivery Room Quality Improvement Project Improved Compliance with Best Practices for a Community NICU

Sauer, Charles W.; Boutin, Mallory A.; Fatayerji, Aayah N.; Proudfoot, James; Fatayerji, Nabil I.; Golembeski, David J.

doi:10.1038/srep37397

Cited by 15 publications

(6 citation statements)

References 34 publications

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“…16À 18 One study considered video debriefing, 16 1 considered the use of a checklist combined with video debriefing, 18 and 1 considered the use of a checklist with a team prebrief/debrief as the key element in a quality improvement bundle. 17 The RCT determined whether there was benefit to rapid cycle deliberate practice compared with standard simulation debriefing. 15 This entire ScopRev [ 1 0 0 8 _ T D $ D I F F ] 14b can be found in Supplement Appendix B-1.…”

Section: Summary Of Evidencementioning

confidence: 99%

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff¹,

Wyllie²,

Aziz³

et al. 2020

Resuscitation

111

114

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This 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With TreatmentRecommendations (CoSTR) for neonatal life support includes evidence from 7 systematic reviews, 3 scoping reviews, and 12 evidence updates.The Neonatal Life Support Task Force generally determined by consensus the type of evidence evaluation to perform; the topics for the evidence updates followed consultation with International Liaison Committee on Resuscitation member resuscitation councils. The 2020 CoSTRs for neonatal life support are published either as new statements or, if appropriate, reiterations of existing statements when the task force found they remained valid.Evidence review topics of particular interest include the use of suction in the presence of both clear and meconium-stained amniotic fluid, sustained inflations for initiation of positive-pressure ventilation, initial oxygen concentrations for initiation of resuscitation in both preterm and term infants, use of epinephrine (adrenaline) when ventilation and compressions fail to stabilize the newborn infant, appropriate routes of drug delivery during resuscitation, and consideration of when it is appropriate to redirect resuscitation efforts after significant efforts have failed.All sections of the Neonatal Resuscitation Algorithm are addressed, from preparation through to postresuscitation care. This document now forms the basis for ongoing evidence evaluation and reevaluation, which will be triggered as further evidence is published.Over 140 million babies are born annually worldwide (https://ourworldindata.org/grapher/births-and-deaths-projected-to-2100). If up to 5% receive positive-pressure ventilation, this evidence evaluation is relevant to more than 7 million newborn infants every year. However, in terms of early care of the newborn infant, some of the topics addressed are relevant to every single baby born.

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Section: Summary Of Evidencementioning

confidence: 99%

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff¹,

Wyllie²,

Aziz³

et al. 2020

Resuscitation

111

114

View full text Add to dashboard Cite

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“…45 These approaches are regular clinical or simulation practice, advanced life courses, or team and leadership training. Common to them is the core issue of feedback by a briefing before and debriefing after the event using different means like verbal comments, the manikin itself, 46 checklists, 47,48 respiratory function monitoring 15,16 or digital recordings (video and/or audio). 28,48,49 VR is a method that offers an important advantage being a feasible tool for delivering information across different educational levels 29 while allowing in-depth and repetitive review.…”

Section: Vr For Education and Trainingmentioning

confidence: 99%

Video recording in the delivery room: current status, implications and implementation

et al. 2021

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Many factors determine the performance and success of delivery room management of newborn babies. Improving the quality of care in this challenging surrounding has an important impact on patient safety and on perinatal morbidity and mortality. Video recording (VR) offers the advantage to record and store work as done rather than work as recalled. It provides information about adherence to algorithms and guidelines, and technical, cognitive and behavioural skills. VR is feasible for education and training, improves team performance and results of research led to changes of international guidelines. However, studies thus far have not provided data regarding whether delivery room video recording affects long-term team performance or clinical outcomes. Privacy is a concern because data can be stored and individuals can be identified. We describe the current state of clinical practice in highand low-resource settings, discuss ethical and medical-legal issues and give recommendations for implementation with the aim of improving the quality of care and outcome of vulnerable babies.

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“…(143) The use of prebriefing and debriefing checklists during neonatal resuscitation was helpful in improving communication. (144,145) Recommendations on briefing and debriefing • Briefing before delivery should be conducted where possible.…”

Section: Briefing and Debriefingmentioning

confidence: 99%

Singapore Neonatal Resuscitation Guidelines 2021

Biswas¹,

Ho²,

Yip³

et al. 2021

smedj

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Neonatal resuscitation is a coordinated, team-based series of timed sequential steps that focuses on a transitional physiology to improve perinatal and neonatal outcomes. The practice of neonatal resuscitation has evolved over time and continues to be shaped by emerging evidence as well as key opinions. We present the revised Neonatal Resuscitation Guidelines for Singapore 2021. The recommendations from the International Liaison Committee on Resuscitation Neonatal Task Force Consensus on Science and Treatment Recommendations (2020) and guidelines from the American Heart Association and European Resuscitation Council were compared with existing guidelines. The recommendations of the Neonatal Subgroup of the Singapore Resuscitation and First Aid Council were derived after the work group discussed and appraised the current available evidence and their applicability to local clinical practice.

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Delivery Room Quality Improvement Project Improved Compliance with Best Practices for a Community NICU

Cited by 15 publications

References 34 publications

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Video recording in the delivery room: current status, implications and implementation

Singapore Neonatal Resuscitation Guidelines 2021

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