Improving the Quality of Provided Care: Lessons Learned From Auditing Neonatal Stabilization

Boer, Maria C den; Martherus, Tessa; Houtlosser, Mirjam; Root, Laura; Witlox, Ruben S G M; Pas, Arjan B. te

doi:10.3389/fped.2020.00560

Cited by 8 publications

(14 citation statements)

References 26 publications

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“…The evidence so far shows that using the RFM in the delivery room has raised clinically important research questions and provided insights into scientific knowledge gaps. 17,18 Our exploratory survey had several limitations. The training and review strategies and the total number of resuscitations performed using the RFM differed by centre.…”

Section: Discussionmentioning

confidence: 99%

“…Regular reviews of recordings of neonatal resuscitations may be useful, as this would improve the skills needed for successful delivery room management. 13 , 17 These related to cognitive skills, such as knowledge of physiology and clinical decision‐making, technical skills, including mask techniques and interpreting RFM signals, and behavioural skills like communication. Having combined these results with the feedback from our respondents, we suggest the following regime for RFM training.…”

Section: Discussionmentioning

confidence: 99%

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Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

et al. 2022

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Aim The aim of this study was to assess the resuscitators' opinions of the usefulness and clinical value of using a respiratory function monitor (RFM) when resuscitating extremely preterm infants with positive pressure ventilation. Methods The link to an online survey was sent to 106 resuscitators from six countries who were involved in a multicentre trial that compared the percentage of inflations within a predefined target range with and without the RFM. The resuscitators were asked to assess the usefulness and clinical value of the RFM. The survey was online for 4 months after the trial ended in May 2019. Results The survey was completed by 74 (70%) resuscitators of which 99% considered the RFM to be helpful during neonatal resuscitation and 92% indicated that it influenced their decision‐making. The majority (76%) indicated that using the RFM improved their practice and made resuscitation more effective, even when the RFM was not available. Inadequate training was the key issue that limited the effectiveness of the RFM: 45% felt insufficiently trained, and 78% felt more training in using and interpreting the RFM would have been beneficial. Conclusion Resuscitators considered the RFM to be helpful to guide neonatal resuscitation, but sufficient training was required to achieve the maximum benefit.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

et al. 2022

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“…If available, videolaryngoscopy (InfantView, Vyaire, Chicago, Illinois, USA) recordings were integrated with the eye-tracking recording using the same format as during video reflections on neonatal stabilisation, performed weekly at the local NICU. 8 Healthcare staff openly addressed both what went right and what could be improved. To conclude the video reflection, healthcare staff discussed what they had learnt.…”

Section: Methodsmentioning

confidence: 99%

Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study

Wagner

Boer

Jansen

et al. 2021

Arch Dis Child Fetal Neonatal Ed

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ObjectiveThe aim of this study was to determine the experience with, and the feasibility of, point-of-view video recordings using eye-tracking glasses for training and reviewing neonatal interventions during the COVID-19 pandemic.DesignObservational prospective single-centre study.SettingNeonatal intensive care unit at the Leiden University Medical Center.ParticipantsAll local neonatal healthcare providers.InterventionThere were two groups of participants: proceduralists, who wore eye-tracking glasses during procedures, and observers who later watched the procedures as part of a video-based reflection.Main outcome measuresThe primary outcome was the feasibility of, and the proceduralists and observers’ experience with, the point-of-view eye-tracking videos as an additional tool for bedside teaching and video-based reflection.ResultsWe conducted 12 point-of-view recordings on 10 different patients (median gestational age of 30.9±3.5 weeks and weight of 1764 g) undergoing neonatal intubation (n=5), minimally invasive surfactant therapy (n=5) and umbilical line insertion (n=2). We conducted nine video-based observations with a total of 88 observers. The use of point-of-view recordings was perceived as feasible. Observers further reported the point-of-view recordings to be an educational benefit for them and a potentially instructional tool during COVID-19.ConclusionWe proved the practicability of eye-tracking glasses for point-of-view recordings of neonatal procedures and videos for observation, educational sessions and logistics considerations, especially with the COVID-19 pandemic distancing measures reducing bedside teaching opportunities.

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“…Since 2014 weekly and plenary review sessions are held where recordings of neonatal stabilization are reviewed, focused on mostly on technical aspects ( Figure 1 ). Recording and reviewing resuscitation is considered highly beneficial in our department for learning and improving resuscitation skills and is recommended by participating providers ( 64 ). It has proven to be a valuable tool for asking and giving objective feedback and to have educational benefits ( 29 , 47 ).…”

Section: Putting It Into Practice: a Case-study Of The Neonatal Inten...mentioning

confidence: 99%

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

et al. 2022

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As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams’ management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.

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Improving the Quality of Provided Care: Lessons Learned From Auditing Neonatal Stabilization

Cited by 8 publications

References 26 publications

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

Video-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

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