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Introduction of triggers for palliative care consultation improves utilization and satisfaction within a level four NICU
Journal article   Peer reviewed

Introduction of triggers for palliative care consultation improves utilization and satisfaction within a level four NICU

Linda T Nguyen, David B Cooperberg and Michael L Spear
Journal of perinatology, v 38(5), pp 574-579
May 2018
PMID: 29740184

Abstract

Hospitals, Pediatric Humans Intensive Care Units, Neonatal - organization & administration Intensive Care Units, Neonatal - standards Palliative Care - standards Palliative Care - statistics & numerical data Patient Care Team - organization & administration Personal Satisfaction Referral and Consultation - statistics & numerical data
We sought to explore the beliefs regarding palliative care team utilization, as well as increase consultation and awareness of the palliative care team's role in the NICU. The study design in this Level 4 NICU included observational time series with multiple planned sequential interventions. Medical chart review was conducted to determine eligibility, and statistical process control charts were used to show performance over time. Prior to implementation of the triggers, 26% received consultation, which increased to 46% after implementation. There was an increase in level of understanding, knowledge of team's role, and improved utilization. The time until initial consultation decreased from ~1.5 months to 1 week. We observed a 20% increase in consultations. Key interventions included continual education, reminders, and clear postage of the trigger list. Written guidelines increase awareness of a palliative care team's role within a NICU, and provider satisfaction.

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10 citations in Scopus

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#3 Good Health and Well-Being

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Web of Science research areas
Obstetrics & Gynecology
Pediatrics
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