Assuring safe patient care in a level III NICU in anticipation of hospital closure.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
11 2020
Historique:
received: 05 12 2019
accepted: 06 03 2020
revised: 25 02 2020
pubmed: 24 3 2020
medline: 26 8 2021
entrez: 24 3 2020
Statut: ppublish

Résumé

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. Interventions included expanding TeamSTEPPS huddles and Leadership WalkRounds 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. A strong teamwork climate with resilient leadership may mitigate safety concerns under calamitous circumstances.

Identifiants

pubmed: 32203173
doi: 10.1038/s41372-020-0648-7
pii: 10.1038/s41372-020-0648-7
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1719-1725

Commentaires et corrections

Type : ErratumIn

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Auteurs

Rachel Fleishman (R)

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, St. Christopher's Hospital for Children and Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA. fleishmr@einstein.edu.
Albert Einstein Medical Center, Philadelphia, PA, USA. fleishmr@einstein.edu.
Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA. fleishmr@einstein.edu.

Endla Anday (E)

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, St. Christopher's Hospital for Children and Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Abington Hospital - Jefferson Health, Abington, PA, USA.

Vineet Bhandari (V)

Division of Neonatal-Perinatal Medicine, Department of Pediatrics, St. Christopher's Hospital for Children and Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
The Children's Regional Hospital at Cooper, Camden, NJ, USA.
Cooper Medical School at Rowan University, Camden, NJ, USA.

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