scholarly journals Auditing Neonatal Intensive Care Services

1998 ◽  
Vol 44 (3) ◽  
pp. 425-425
Author(s):  
J Jenkins ◽  
F Alderdice
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Care Services

scholarly journals UK neonatal intensive care services in 1996

1999 ◽  
Vol 80 (3) ◽  
pp. F233-F234 ◽  
Author(s):  
J. Tucker ◽  
W. Tarnow-Mordi ◽  
C. Gould ◽  
G. Parry ◽  
N. Marlow
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Care Services

scholarly journals Developing a practical methodology to improve the health-care services: studying a neonatal intensive care unit case in Oman

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nasr Al-Hinai ◽  
Ahm Shamsuzzoha
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Services ◽  
Neonatal Intensive Care ◽  
Care Staff ◽  
Content Type ◽  
Care Services ◽  
Time Motion

PurposeThis study aims to develop a practical methodology to identify possible areas of improvements as well as exploring how to improve the health-care staff flow within a selected department in a hospital.Design/methodology/approachIt focuses on showing how to properly study and analyze the health-care services and processes practiced at a selected department within a hospital. For this, several techniques like non-value-adding activities, time motion study, spaghetti diagram, layout analysis, etc. are used.FindingsTo test the proposed methodology, a neonatal intensive care unit (NICU) of a hospital in Oman was considered as a case study. The study revealed that this unit has several potential improvements capabilities. Further, this study also discussed possible areas of improvements of this case unit and suggested how such improvements can be implemented.Originality/valueSeveral possible improvements are suggested and are discussed with the hospital authority, which can be clarified as the re-layout of the NICU rooms, reorganization of the store to improve the staff flow, increase the work efficiency, introduction of Help Us Support Healing policy, etc., which can enhance the entire operational system at the studied NICU.

scholarly journals Readiness of Primary Hospitals in Providing Neonatal Intensive Care Services in Ethiopia

2021 ◽  
Vol 31 (2) ◽  
Author(s):  
Hailemariam Segni Abawollo ◽  
Zergu Tafesse Tsegaye ◽  
Binyam Fekadu Desta ◽  
Ismael Ali Beshir
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Medical Equipment ◽  
Neonatal Intensive Care ◽  
Laboratory Tests ◽  
National Standard ◽  
Neonatal Intensive Care Units ◽  
Care Services ◽  
Primary Hospital

BACKGROUND፡ The Ethiopian neonatal mortality has not shown much progress over the years. In light of this, the country has introduced interventions such as the utilization of newborn corners and neonatal intensive care units to avert preventable neonatal deaths. This study was conducted to assess readiness of primary hospitals in providing neonatal intensive care services.METHODS: A health facility based cross-sectional study design was employed where data were collected using both prospective and retrospective techniques using a format adapted from national documents. SPSS version 25 was used for data entry and analysis using descriptive statistics.RESULTS: Data were collected from 107 of 113 (94.7%) primary hospitals due to inaccessibility of some primary hospitals. The minimum national standard requirement of a level one neonatal intensive care unit for infrastructure was met by 63% (68/107) and 44% (47/107) had fulfilled the requirements for kangaroo mother care units. The average number of neonatal intensive care unit trained nurses per primary hospital was 2.6, 0.8 for general practitioners and 2.9 support staff; all of which is less than the minimum recommended national standard. The minimum national requirement for medical equipment and renewables for primary hospital level was fulfilled by 24% (26/107) of the hospitals, 65% (70/107) for essential laboratory tests, and 87% (93/107) for clinical services and procedures. The average number of admissions during the six months prior to the data collection was 87.2 sick newborns per facility with a ‘discharged improved’ rate of 71.5%, referral out rate of 18.4% and level one neonatal intensive care unit death rate of 6.6%. The remaining newborns had either left against medical advice or were still undergoing treatment during data collection.CONCLUSIONS: The overall readiness of primary hospitals to deliver neonatal intensive care services in terms of infrastructure, human resource, medical equipment, and laboratory tests was found to be low. There is a need to fill gaps in infrastructure, medical equipment, renewables, human resource, laboratory reagents, drugs and other supplies of neonatal intensive care units of primary hospitals to garner better quality of service delivery.

A Paradigm for Making Difficult Choices in the Intensive Care Nursery

1993 ◽  
Vol 2 (3) ◽  
pp. 281-294 ◽  
Author(s):  
William E. Benitz
Keyword(s):  
Decision Making ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Ethics Committees ◽  
Academic Disciplines ◽  
Care Services ◽  
Complex Process ◽  
Baby Doe ◽  
Decision Making Processes ◽  
Intensive Care Nursery

In the 10 years since the birth of “Baby Doe,” the decisions confronted daily by neonatologists and parents of sick or premature infants have been the focus of a great deal of attention. Issues raised by these decisions have been vigorously debated and discussed in the popular media in political and governmental forums, and in the professional literatures of a variety of academic disciplines. These discourses have illuminated a number of moral and ethical principles that may govern these decisions and have contributed to the development of regulatory and procedural constraints upon this process, including requirements for establishment of infant care review committees at all hospitals that provide neonatal intensive care services. However, the philosophical concepts espoused by theoreticians, although often helpful as abstractions, are rarely invoked at the bedside as decisions are sought for individual patients. No clear consensus has emerged on how these ideas should be incorporated into clinical practice or on the role of mandated ethics committees or discretionary ethics consultants. Consequently, there are wide disparities in decision-making processes both within and among institutions. Failures of these systems to protect neonatal patients or their families remain distressingly common and have attracted considerable attention in the lay press. Although there can be no universal decision tree that can dictate the course of this complex process in all cases, a clearly articulated operative paradigm that defines essential features of an effective and equitable decision-making process is essential to identify the causes of failures and conflicts that arise when the process is dysfunctional and to prevent such problems by providing a framework for training practitioners to deal with these issues.

Presence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g

2020 ◽  
Vol 48 (4) ◽  
pp. 402-410
Author(s):  
Semsa Gogcu ◽  
David Aboudi ◽  
Jordan Kase ◽  
Edmund LaGamma ◽  
Heather Lynn Brumberg
Keyword(s):  
Intensive Care ◽  
Early Intervention ◽  
Neonatal Intensive Care ◽  
Speech Therapy ◽  
Very Low Birth Weight ◽  
Community Level ◽  
Care Services ◽  
Level 1 ◽  
Therapeutic Services ◽  
Level 2

AbstractObjectiveTo determine whether the receipt of therapeutic services of very-low-birth-weight (VLBW; ≤1500 g) neonates inadvertently delivered at community Level 2 and 3 neonatal intensive care units (NICUs) compared with those born at a well-baby nursery (WBN; Level 1) differed.MethodsThis is a retrospective study of neonates who were born at Level 1 (WBN), 2, 3, and 4 NICUs and discharged from a Level 4 hospital (n = 529). All infants were evaluated at the Regional Neonatal Follow-up Program at 12 ± 1 months corrected gestational age (CA) and assessed for use of therapeutic services including: early intervention (EI), occupational therapy (OT), physical therapy (PT), speech therapy (ST), and special education (SE).ResultsCompared to infants born at community Level 2 and 3 NICU hospitals, those outborn at a community Level 1 WBN had significantly higher utilization of EI (90% vs. 62%) and PT (83% vs. 61%) at 12 months CA. This association persisted when controlling for covariates. Infants who required EI had significantly lower Bayley-III cognitive scores at 3 years of age.ConclusionVLBW infants outborn at WBN (Level 1) hospitals required more outpatient therapeutic services than those born at hospitals with NICU facilities. These results suggest that delivering at the appropriate community hospital level of care might be advantageous for long-term outcomes.

scholarly journals Extremely Premature Infants

2018 ◽  
pp. 59-62
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Birth Weight ◽  
Survival Rate ◽  
Preterm Infants ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Treatment Approach ◽  
Extreme Prematurity ◽  
Care Services

Extreme prematurity describes infants born under 28 weeks. In recent years, there has been an increase in the survival rate of extremely premature infants with extremely low birth week and birth weight due to improvements in neonatal intensive care services. As a result, an increase in the number of cases with retinopathy of prematurity (ROP) is observed. Moreover, the frequency of the ROP treatment was extremely high in preterm infants with a gestational age of fewer than 28 weeks. In this article, the incidence of ROP, risk factors, clinical features, and treatment approach were reviewed in extremely premature infants.

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