Background Lack of specific protocols for neonatal donation contributes to the rarity of neonatal donors. In this study, we evaluate the impact of the implementation of a neonatal donation protocol in our NICU. Methods In this single‐center study, we conducted a retrospective chart review of neonatal deaths in our NICU from January 2013 to January 2022. The study was divided into two periods: before and after the implementation of a neonatal donation protocol. The referral rates of potential neonatal donors to the OPO in the two periods were compared using the chi‐square test. A p value < .05 was considered statistically significant. Results Sixty‐four infants were reviewed. Seven (10.9%) met the inclusion criteria for potential neonatal donors after DCC. The referral rate of potential neonatal donors increased from 2.5% to 16.7% after the implementation of this protocol (p = .041), and one infant (4.1%) became an effective heart‐valve donor. Conclusion The implementation of a local neonatal donation protocol could have contributed to increase the referral rate of potential neonatal donors in our NICU. Following the implementation of a local neonatal donation protocol, we were able to perform a heart‐valve donation for the first time in our unit.
Background:Electronic recording of newborn health information contributes to improving the quality of care.Nonetheless, there is limited evidence on the implementation of perinatal electronic medical records models. We describe the development and implementation of an electronic recording model that includes data on the health care provided to both the mother and the newborn, standardised for six hospitals of a regional health care system. Methods:The implementation process was developed in 2 stages. During stage 1, the tool was introduced in hospitals to stablish rst contact with the healthcare staff. The second stage consisted in designing a new strategy to stabilise the model. Technical issues were xed, and a new version was drawn up based on multidisciplinary agreement. Indicators to monitor implementation were measured in both stages and compared using the chi-squared test. Results:During stage 1, nearly every newborn got its electronic medical record with an appropriate connection to the mother's data. However, certain forms that were meant to be lled in by staff were frequently neglected (completion rates: 36.7%-55.3%). In stage 2, there was a statistically signi cant increase in the completion rates of all these forms. As a result, a standardised discharge report was provided to every newborn at the end of stage 2. Conclusions:Implementation of perinatal electronic medical records that link maternal and neonatal data is complicated and experience in this area is limited. Here we describe the implementation process of a model that was reliable and standardised for an entire regional health care system.
Background: Electronic recording of newborn health information contributes to improving the quality of care. Nonetheless, there is limited evidence on the implementation of perinatal electronic medical records models. We describe the development and implementation of an electronic recording model that includes data on the health care provided to both the mother and the newborn, standardised for six hospitals of a regional health care system.Methods:The implementation process was developed in 2 stages. During stage 1, the tool was introduced in hospitals to stablish first contact with the healthcare staff. The second stage consisted in designing a new strategy to stabilise the model. Technical issues were fixed, and a new version was drawn up based on multidisciplinary agreement. Indicators to monitor implementation were measured in both stages and compared using the chi-squared test. Results:During stage 1, nearly every newborn got its electronic medical record with an appropriate connection to the mother’s data. However, certain forms that were meant to be filled in by staff were frequently neglected (completion rates: 36.7%-55.3%). In stage 2, there was a statistically significant increase in the completion rates of all these forms. As a result, a standardised discharge report was provided to every newborn at the end of stage 2. Conclusions: Implementation of perinatal electronic medical records that link maternal and neonatal data is complicated and experience in this area is limited. Here we describe the implementation process of a model that was reliable and standardised for an entire regional health care system.
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