Construction and Application of an Information Closed-Loop Management System for Maternal and Neonatal Access and Exit Rooms: Non Randomized Controlled Trial.

Background: Traditional management methods can no longer meet the demand for efficient and accurate neonatal care. There is a need for an information-based and intelligent management system.

Objective: This study aimed to construct an information closed-loop management system to improve the accuracy of identification in mother-infant rooming-in care units and enhance the efficiency of infant admission and discharge management.

Methods: Mothers who delivered between January 2023 and June 2023 were assigned to the control group (n=200), while those who delivered between July 2023 and May 2024 were assigned to the research group (n=200). The control group adopted traditional management methods, whereas the research group implemented closed-loop management. Barcode technology, a wireless network, mobile terminals, and other information technology equipments were used to complete the closed loop of newborn exit and entry management. Data on the satisfaction of mothers and their families, the monthly average qualification rate of infant identity verification, and the qualification rate of infant consultation time were collected and statistically analyzed before and after the closed-loop process was implemented.

Results: After the closed-loop process was implemented, the monthly average qualification rate of infant identity verification increased to 99.45 (SD 1.34), significantly higher than the control group before implementation 83.58 (SD 1.92) (P=.02). The satisfaction of mothers and their families was 96.45 (SD 3.32), higher than that of the control group before the closed-loop process was implemented 92.82 (SD 4.73) (P=.01). Additionally, the separation time between infants and mothers was restricted to under 1 hour.

Conclusions: The construction and application of the information closed-loop management system significantly improved the accuracy and efficiency of maternal and infant identity verification, enhancing the safety of newborns.