Journal article
Assuring safe patient care in a level III NICU in anticipation of hospital closure
Journal of perinatology, Vol.40(11), pp.1719-1725
01 Nov 2020
PMID: 32203173
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives Hospital closures promote latent factors putting patients at risk for medical errors. Our goal was to maintain safe patient care in our Neonatal Intensive Care Unit (NICU) by preventing any increase in neonatal mortality or hospital-based complications prior to hospital closure. Methods Interventions included expanding TeamSTEPPS huddles and Leadership WalkRounds(TM). Measurements of safety domains were conducted using the Safety Attitudes Questionnaire. A run chart tracked neonatal mortality. We compared hospital-based complications for all neonatal admissions in 2019 with our own past outcomes and Vermont Oxford Network (VON) benchmarks. Results Teamwork climate scores increased from an average score of 24.6-28.3 (maximum score 30, P < 0.05, CI 6.7-0.9). Quarterly neonatal mortality and neonatal outcomes did not worsen. The frequency of transfer did not increase. Conclusions A strong teamwork climate with resilient leadership may mitigate safety concerns under calamitous circumstances.
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Details
- Title
- Assuring safe patient care in a level III NICU in anticipation of hospital closure
- Creators
- Rachel Fleishman - Drexel UniversityEndla Anday - Drexel UniversityVineet Bhandari - Cooper Medical School of Rowan University
- Publication Details
- Journal of perinatology, Vol.40(11), pp.1719-1725
- Publisher
- Springer Nature
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Identifiers
- 991019167770004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics