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Seminars in perinatology最新文献

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Building a NICU quality & safety infrastructure 建立新生儿重症监护室质量与安全基础设施
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151902
Jessica Davidson , Yogangi Malhotra , Rebecca Shay , Athis Arunachalam , David Sink , James S. Barry , Jeffrey Meyers
{"title":"Building a NICU quality & safety infrastructure","authors":"Jessica Davidson ,&nbsp;Yogangi Malhotra ,&nbsp;Rebecca Shay ,&nbsp;Athis Arunachalam ,&nbsp;David Sink ,&nbsp;James S. Barry ,&nbsp;Jeffrey Meyers","doi":"10.1016/j.semperi.2024.151902","DOIUrl":"10.1016/j.semperi.2024.151902","url":null,"abstract":"<div><p>The American Academy of Pediatrics (AAP) Standards for Levels of Neonatal Care, published in 2023, highlights key components of a Neonatal Patient Safety and Quality Improvement Program (NPSQIP). A comprehensive Neonatal Intensive Care Unit (NICU) quality and safety infrastructure (QSI) is based on four foundational domains: quality improvement, quality assurance, safety culture, and clinical guidelines. This paper serves as an operational guide for NICU clinical leaders and quality champions to navigate these domains and develop their local QSI to include the AAP NPSQIP standards.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151902"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The entwined circles of quality improvement & advocacy 质量改进与宣传的交织循环
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151901
Shetal Shah , Lily Lou
{"title":"The entwined circles of quality improvement & advocacy","authors":"Shetal Shah ,&nbsp;Lily Lou","doi":"10.1016/j.semperi.2024.151901","DOIUrl":"10.1016/j.semperi.2024.151901","url":null,"abstract":"<div><p>Health policy and quality improvement initiatives exist symbiotically. Quality projects can be spurred by policy decisions, such as the creation of financial incentives for high-value care. Then, advocacy can streamline high-value care, offering opportunities for quality improvement scholars to create projects consistent with evidenced-based care. Thirdly, as pediatrics and neonatology reconcile with value-based payment structures, successful quality initiatives may serve as demonstration projects, illustrating to policy-makers how best to allocate and incentivize resources that optimize newborn health. And finally, quality improvement (QI) can provide an essential link between broad reaching advocacy principles and boots-on-the-ground local or regional efforts to implement good ideas in ways that work practically in particular environments. In this paper, we provide examples of how national legislation elevated the importance of QI, by penalizing hospitals for low quality care. Using Medicaid coverage of pasteurized human donor milk as an example, we discuss how advocacy improved cost-effectiveness of treatments used as tools for quality projects related to reduction of necrotizing enterocolitis and improved growth. We discuss how the future of QI work will assist in informing the agenda as neonatology transitions to value-based care. Finally, we consider how important local and regional QI work is in bringing good ideas to the bedside and the community.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151901"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality improvement efforts directed at optimal umbilical cord management in delivery room 产房优化脐带管理的质量改进工作
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151905
Priya Jegatheesan , Henry C. Lee , Andrea Jelks , Dongli Song
{"title":"Quality improvement efforts directed at optimal umbilical cord management in delivery room","authors":"Priya Jegatheesan ,&nbsp;Henry C. Lee ,&nbsp;Andrea Jelks ,&nbsp;Dongli Song","doi":"10.1016/j.semperi.2024.151905","DOIUrl":"10.1016/j.semperi.2024.151905","url":null,"abstract":"<div><p>Delayed or deferred cord clamping (DCC) and umbilical cord milking (UCM) benefit all infants by optimizing fetal-neonatal transition and placental transfusion. Even though DCC is recommended by almost all maternal and neonatal organizations, it has not been universally implemented. There is considerable variation in umbilical cord management practices across institutions. In this article, we provide examples of successful quality improvement (QI) initiatives to implement optimal cord management in the delivery room. We discuss a number of key elements that should be considering among those undertaking QI efforts to implement DCC and UCM including, multidisciplinary team collaboration, development of theory for change, mapping of the current and ideal process and workflow for cord management, and creation of a unit-specific evidence-based protocol for cord management. We also examine important strategies for implementation and provide suggestions for developing a system for measurement and benchmarking.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151905"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A guide to critical appraisal of quality improvement reports 质量改进报告批判性评估指南。
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151900
Colby Day , Jeffrey Meyers , Heather C. Kaplan
{"title":"A guide to critical appraisal of quality improvement reports","authors":"Colby Day ,&nbsp;Jeffrey Meyers ,&nbsp;Heather C. Kaplan","doi":"10.1016/j.semperi.2024.151900","DOIUrl":"10.1016/j.semperi.2024.151900","url":null,"abstract":"<div><p>Quality improvement (QI) has become an integral part of healthcare. Despite efforts to improve the reporting of QI through frameworks such as the SQUIRE 2.0 guidelines, there is no standard or well-accepted guide to evaluate published QI for rigor, validity, generalizability, and applicability. User's Guides for evaluation of published clinical research have been employed routinely for over 25 years; however, similar tools for critical appraisal of QI are limited and uncommonly used. In this article we propose an approach to guide the critical review of QI reports focused on evaluating the methodology, improvement results, and applicability and feasibility for implementation in other settings. The resulting Quality Improvement Critical Knowledge (QUICK) Tool can be used by those reviewing manuscripts submitted for publication, as well as healthcare providers seeking to understand how to apply published QI to their local context.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151900"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving parental mental health in the perinatal period: A review and analysis of quality improvement initiatives 改善围产期父母的心理健康：质量改进措施回顾与分析。
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151906
Sofia I. Perazzo , Margaret K. Hoge , Richard J. Shaw , Veronica Gillispie-Bell , Lamia Soghier
{"title":"Improving parental mental health in the perinatal period: A review and analysis of quality improvement initiatives","authors":"Sofia I. Perazzo ,&nbsp;Margaret K. Hoge ,&nbsp;Richard J. Shaw ,&nbsp;Veronica Gillispie-Bell ,&nbsp;Lamia Soghier","doi":"10.1016/j.semperi.2024.151906","DOIUrl":"10.1016/j.semperi.2024.151906","url":null,"abstract":"<div><p>Parental mental health is an essential sixth vital sign that, when taken into consideration, allows clinicians to improve clinical outcomes for both parents and infants. Although standards exist for screening, referral, and treatment for perinatal mood and anxiety disorders (PMADs), they are not reliably done in practice, and even when addressed, interventions are often minimal in scope. Quality improvement methodology can accelerate the implementation of interventions to address PMADs, but hurdles exist, and systems are not well designed, particularly in pediatric inpatient facilities. In this article, we review the effect of PMADs on parents and their infants and identify quality improvement interventions that can increase screening and referral to treatment of parents experiencing PMADs.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151906"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality improvement and outcomes for neonates with hypoxic-ischemic encephalopathy: obstetrics and neonatal perspectives 缺氧缺血性脑病新生儿的质量改进和疗效：产科和新生儿视角
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1053/j.semperi.2024.151904
Afifi J , Shivananda S , Wintermark P , Wood S , Brain P , Mohammad K
{"title":"Quality improvement and outcomes for neonates with hypoxic-ischemic encephalopathy: obstetrics and neonatal perspectives","authors":"Afifi J ,&nbsp;Shivananda S ,&nbsp;Wintermark P ,&nbsp;Wood S ,&nbsp;Brain P ,&nbsp;Mohammad K","doi":"10.1053/j.semperi.2024.151904","DOIUrl":"10.1053/j.semperi.2024.151904","url":null,"abstract":"<div><p>Despite significant improvement in perinatal care and research, hypoxic ischemic encephalopathy (HIE) remains a global healthcare challenge. From both published research and reports of QI initiatives, we have identified a number of distinct opportunities that can serve as targets of quality improvement (QI) initiatives focused on reducing HIE. Specifically, (i) implementation of perinatal interventions to anticipate and timely manage high-risk deliveries; (ii) enhancement of team training and communication; (iii) optimization of early HIE diagnosis and management in referring centers and during transport; (iv) standardization of the approach when managing neonates with HIE during therapeutic hypothermia; (v) and establishment of protocols for family integration and follow-up, have been identified as important in successful QI initiatives. We also provide a framework and examples of tools that can be used to support QI work and discuss some of the perceived challenges and future opportunities for QI targeting HIE.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151904"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0146000524000363/pdfft?md5=1efc16ec2d8031e58d1d8c181834340f&pid=1-s2.0-S0146000524000363-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Growing together: Optimization of care through quality improvement for the mother/infant dyad affected by perinatal opioid use 共同成长：通过提高质量优化对受围产期使用阿片类药物影响的母婴二人组的护理
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1016/j.semperi.2024.151907
Megan R. Miller , Kathryn Dee L. MacMillan
{"title":"Growing together: Optimization of care through quality improvement for the mother/infant dyad affected by perinatal opioid use","authors":"Megan R. Miller ,&nbsp;Kathryn Dee L. MacMillan","doi":"10.1016/j.semperi.2024.151907","DOIUrl":"10.1016/j.semperi.2024.151907","url":null,"abstract":"<div><p>The care of the dyad affected by opioid use disorder (OUD) requires a multi-disciplinary approach that can be challenging for institutions to develop and maintain. However, over the years, many institutions have developed quality improvement (QI) initiatives aimed at improving outcomes for the mother, baby, and family. Over time, QI efforts targeting OUD in the perinatal period have evolved from focusing separately on the mother and baby to efforts addressing care of the dyad and family during pregnancy, delivery, and postpartum. Here, we review recent and impactful QI initiatives that serve as examples of work improving outcomes for this population. Further, we advocate that this work be done through a racial equity lens, given ongoing inequities in the care of particularly non-white populations with substance use disorders. Through QI frameworks, even small interventions can result in meaningful changes to the care of babies and families and improved outcomes.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151907"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TOPICS 主题
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1053/S0146-0005(24)00047-8
{"title":"TOPICS","authors":"","doi":"10.1053/S0146-0005(24)00047-8","DOIUrl":"https://doi.org/10.1053/S0146-0005(24)00047-8","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151913"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVER (PMS 486 K) 封面（PMS 486 K）
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-04-01 DOI: 10.1053/S0146-0005(24)00045-4
{"title":"COVER (PMS 486 K)","authors":"","doi":"10.1053/S0146-0005(24)00045-4","DOIUrl":"https://doi.org/10.1053/S0146-0005(24)00045-4","url":null,"abstract":"","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 3","pages":"Article 151911"},"PeriodicalIF":3.4,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140894752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term outcomes of infants with severe BPD 严重颅内压增高症婴儿的长期预后。
IF 3.4 3区 医学
Seminars in perinatology Pub Date : 2024-03-01 DOI: 10.1016/j.semperi.2024.151891
Joseph M. Collaco , Sharon A. McGrath-Morrow
{"title":"Long-term outcomes of infants with severe BPD","authors":"Joseph M. Collaco ,&nbsp;Sharon A. McGrath-Morrow","doi":"10.1016/j.semperi.2024.151891","DOIUrl":"10.1016/j.semperi.2024.151891","url":null,"abstract":"<div><p>Preterm birth disrupts the normal sequence of lung development. Additionally, interventions that support gas exchange, including positive pressure ventilation and supplemental oxygen can further exacerbate lung injury, increasing the risk of developing bronchopulmonary dysplasia (BPD) in infants born preterm. Approximately 50,000 preterm infants each year in the United States develop BPD. Heterogeneous lung pathology involving the upper and lower respiratory tract can contribute to the BPD phenotype and can be age-dependent. These phenotypes include alveolar, upper airway, large airways, small airways, and vascular. Each of these phenotypes may improve, resolve, or persist at different ages, throughout childhood. The development of BPD endotypes can be influenced by gestational age and length and type of respiratory support. Although, long-term pulmonary outcomes of infants with severe BPD are variable, the presence of small airway disease is a common phenotype in school age and adolescent children. In this review we examine the more common respiratory endotypes found in infants and children with severe BPD and discuss the long-term prognosis for cardiovascular, neurological, and gastrointestinal morbidities in this patient population.</p></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"48 2","pages":"Article 151891"},"PeriodicalIF":3.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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