scholarly journals Improving the effectiveness of the referral process in a tertiary NICU using lean methodology concepts

2021 ◽  
Vol 7 (5) ◽  
pp. 122-127
Author(s):  
Claudia Chetcuti Ganado ◽  
Sherif Dabbour ◽  
Yasin Fatin
Keyword(s):  
Neonatal Intensive Care ◽  
Care Setting ◽  
Capital Investments ◽  
Quality Improvements ◽  
Intensive Care Setting ◽  
Front Line ◽  
Post Intervention ◽  
Quality Patient Care ◽  
Email Address ◽  
Standard Operating

Aim: To reduce the administrative time trainees spent when completing a patient referral to specialist teams in a tertiary Neonatal Intensive care setting. Methods: We designed a pre intervention and post intervention questionnaire completed prospectively by trainees describing the tasks they needed to undertake to complete a referral, the time perceived as ‘wasted’ and suggest potential solutions over a 2 month period between 1st June 2020 and 1st August 2020. We used Lean methodology to identify waste as steps that did not add value to quality patient care. We designed a NICU referral directory containing the standard operating steps, the appropriate proformas and contact details of receiving unit, a process algorithm and a collective consultant email address. Results: Our project achieved a reduction in the median time to complete a referral from 27.5 minutes to 6 minutes (p = 0.0087). The time perceived ‘wasted’ by trainees was reduced from 20 minutes to 0 minutes (p=0.006). Conclusion: Our project is a simple intervention and supports using Lean methodologies to identify waste and bring about quick improvements without significant capital investments. We demonstrate how front line staff can be engaged in identifying inefficiencies, suggest solutions which help in the successful adoption and sustainability of quality improvements.

Poster Abstracts Presented at the 8th National Neonatal Nurses Meeting Washington, DC, October 9–11, 2008

2009 ◽  
Vol 28 (1) ◽  
pp. 8-26
Keyword(s):  
Neonatal Intensive Care ◽  
Care Setting ◽  
Nursing Practice ◽  
Evidence Based ◽  
Washington Dc ◽  
Intensive Care Setting ◽  
Neonatal Nurses ◽  
Care Community ◽  
Evidence Based Nursing ◽  
Support Evidence

These poster abstracts summarize the topics that were presented at the recent 8th National Neonatal Nurses Meeting in Washington, D.C. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice in a neonatal intensive care setting.

Abstracts Presented at the 5th National Advanced Practice Neonatal Nurses Conference Miami, Florida, April 24–26, 2008

2008 ◽  
Vol 27 (4) ◽  
pp. 287-290
Keyword(s):  
Neonatal Intensive Care ◽  
Care Setting ◽  
Nursing Practice ◽  
Evidence Based ◽  
Advanced Practice ◽  
Intensive Care Setting ◽  
Neonatal Nurses ◽  
Care Community ◽  
Evidence Based Nursing ◽  
Support Evidence

These podium and poster abstracts summarize the topics that were presented at the recent 5th National Advanced Practice Neonatal Nurses Conference in Miami, Florida. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice in a neonatal intensive care setting.

scholarly journals Reliability of Reagent Strips for Semi-quantitative Measurement of Glucosuria in a Neonatal Intensive Care Setting

2014 ◽  
Vol 55 (6) ◽  
pp. 444-448 ◽  
Author(s):  
Jolita Bekhof ◽  
Boudewijn J. Kollen ◽  
Sjef van de Leur ◽  
Joke H. Kok ◽  
Irma H.L.M. van Straaten
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Quantitative Measurement ◽  
Care Setting ◽  
Intensive Care Setting ◽  
Reagent Strips

scholarly journals Use of Wrist or Ankle as Substitute Sites for Placement of Pulse Oximeter in Neonatal Intensive Care

2021 ◽  
Vol 6 (1) ◽  
pp. 1401-1404
Author(s):  
Sonia Dahal ◽  
Hemsagar Rimal ◽  
Kumud Pyakurel ◽  
Deep Raj Adhikari
Keyword(s):  
Intensive Care ◽  
Response Time ◽  
Pulse Oximetry ◽  
Neonatal Intensive Care ◽  
Care Setting ◽  
Response Times ◽  
Simultaneous Recording ◽  
Primary Objective ◽  
P Value ◽  
Intensive Care Setting

Introduction: Pulse oximetry is widely used in Neonatal intensive care setting. Both wrist and ankle are widely used as substitute sites for probe placement in place of more commonly used sites such as palm and sole. However, little is known about the accuracy and response time of pulse oximetry when the probe is placed at wrist or ankle of neonates. Objectives: The primary objective of this study was to compare the values of SpO2 reading at wrist with palm and ankle with sole in terms of correlation and accuracy. The secondary objective was to compare the response time to get a valid SpO2 reading at wrist with palm and ankle with sole. Methodology: This was a prospective observational study conducted at Neonatal intensive care unit of Biratnagar Hospital from October 2020 to January 2021. After approval from institutional review committee, a total of 152 consecutive neonates admitted in NICU of either gender both term and preterm were enrolled for the study. Recording of SpO2, heart rate and response time was done by two pulse oximeters simultaneously. The SpO2 measurements at right palm and right wrist were recorded at 0, 30 seconds and 1 minute then simultaneous recording was done for the left palm and left wrist, right sole and ankle and left sole and ankle. Response time was also recorded for each of the readings. Results: The results of our study show good correlation using regression analysis and good agreement using Bland- Altman plots between the values of SpO2 reading of paired measurements. The response times of the paired measurements were not significantly different. There was good correlation between the SpO2 of paired measurements. The correlation for right palm and wrist was 0.927 (P-value = 0.01) and that of left palm and wrist was 0.85 (P-value = 0.01). Similarly the correlation between right sole and ankle and left sole and ankle were 0.937 (P-value = 0.01) and 0.875 (Pvalue = 0.01) respectively. The bias (average difference) and precision (standard deviation of differences) were calculated. The bias and precision of the right palm and wrist, left palm and wrist, right ankle and sole; and left ankle and sole were (-0.00289, 0.76105), (-0.17982, 0.95049), (-0.03509, 0.786342) and (-0.14474, 0.859241) respectively. Conclusion: Wrist and ankle can be used as substitute sites for pulse oximter placement in neonatal intensive care setting. 

Rumination—A New Complication of Neonatal Intensive Care

PEDIATRICS ◽  
1980 ◽  
Vol 66 (4) ◽  
pp. 551-555
Author(s):  
Thomas G. Sheagren ◽  
Henry H. Mangurten ◽  
Frantz Brea ◽  
Susan Lutostanski
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Treatment Program ◽  
Successful Treatment ◽  
Neonatal Intensive Care ◽  
Care Setting ◽  
Intensive Care Setting ◽  
Rumination Syndrome ◽  
Newborn Intensive Care Unit ◽  
Newborn Intensive Care

The infant rumination syndrome has not been previously reported in a neonatal intensive care setting. We recently managed three infants in our newborn intensive care unit who developed rumination following chronic courses in the unit. The events leading to this condition in each infant are described, as well as the successful treatment program that was instituted. With recognition of factors predisposing to this disorder, the problem may be avoided, providing these infants with the best chance for optimal development despite the need for prolonged intensive care.

Abstracts Presented at the 6th National Advanced Practice Neonatal Nurses Conference Boston, Massachusetts, April 3–5, 2009

2009 ◽  
Vol 28 (3) ◽  
pp. 27-30
Keyword(s):  
Neonatal Intensive Care ◽  
Care Setting ◽  
Evidence Based ◽  
Advanced Practice ◽  
Intensive Care Setting ◽  
Neonatal Nurses ◽  
Care Community ◽  
Poster Presentations ◽  
Evidence Based Nursing ◽  
Support Evidence

These abstracts summarize poster presentations from the recent 6th National Advanced Practice Neonatal Nurses Meeting in Boston, Massachusetts. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice in a neonatal intensive care setting.

Sign in / Sign up

Export Citation Format

Share Document