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Evaluating the Processes of Neonatal Intensive Care

Author: Joseph Schulman

Publisher: John Wiley & Sons

Published: 2009-02-05

Total Pages: 160

ISBN-13: 1405146206

An essential guide for evaluating outcomes and improving practice in the neonatal intensive care unit - an aspect of neonatal intensive care that is not covered in standard texts. Written by a neonatologist with experience in outcomes research, the book engages Neonatal Intensive Care Unit (NICU) workers with vitally important questions about their work: What is a good NICU? Could you achieve better results? How completely can you characterize the results of your NICU?

Evaluating the Processes of Neonatal Intensive Care

Author: Joseph Schulman

Publisher:

Published: 2004

Total Pages: 0

ISBN-13:

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Managing your Patients' Data in the Neonatal and Pediatric ICU

Author: Joseph Schulman

Publisher: John Wiley & Sons

Published: 2008-04-15

Total Pages: 376

ISBN-13: 0470757418

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With accompanying software! Clinicians manage a lot of data - on assorted bits of paper and in their heads. This book is about better ways to manage and understand large amounts of clinical data. Following on from his ground breaking book, Evaluating the Processes of Neonatal Intensive Care, Joseph Schulman has produced this eminently readable guide to patient data analysis. He demystifies the technical methodology to make this crucial aspect of good clinical practice understandable and usable for all health care workers. Computer technology has been relatively slow to transform the daily work of health care, the way it has transformed other professions that work with large amounts of data. Each day, we do our work as we did it the day before, even though current technology offers much better ways. Here are much better ways to document and learn from the daily work of clinical care. Here are the principles of data management and analysis and detailed examples of how to implement them using computer technology. To show you that the knowledge is scalable and useful, and to get you off to a running start, the book includes a complete point of care database software application tailored to the neonatal intensive care unit (NICU). With examples from the NICU and the pediatric ward, this book is aimed specifically at the neonatal and pediatric teams. The accompanying software can be downloaded on to your system or PDA, so that continual record assessment becomes second nature – a skill that will immeasurably improve practice and outcomes for all your patients.

The Problem of Practice Variation in Newborn Medicine

Author: Joseph Schulman

Publisher: Springer Nature

Published: 2022-05-20

Total Pages: 282

ISBN-13: 303094655X

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Neonatal intensive care unit (NICU) teams in the US and around the world receive performance reports that locate their particular value for selected process and outcome measures within the range of values from all reporting NICUs. Understandably, many providers focus primarily, if not exclusively, on their particular value. When a value appears undesirable, providers often justify it in an apparent reflex response rather than critically analysing their data. Exceedingly few reflect on the width or implications of the range within which their performance lies. Standard medical education does not include these skills, yet unwarranted practice variation necessarily compromises a population’s overall quality of care. Researchers report wide variation in health care resource use with little connection to patient outcomes, challenging the belief that directing incrementally more resources at certain healthcare problems necessarily produces better results. This book provides requisite knowledge to enable readers without research expertise to understand the notion of unwarranted practice variation, how to recognize it, its ubiquity, and why it is generally undesirable – why narrowing is pervasiveness improves quality. The book begins by describing practice variation, its prevalence, and why it matters. Next, it examines alternative conceptualizations of NICU work. One view is task-oriented, while the other is aim-oriented. NICU teams rarely articulate their aims explicitly, so this book offers examples that guide thinking and action. Finally, this book asks, “Which rate is 'right'; what is the performance target?” The answer entails identifying the lowest resource use rate associated with desirable outcomes. This requires data describing efficient and predictably performing provision of current evidence-based care, along with relationships to a variety of outcomes. Provider conceptualization of healthcare quality also is often vague. The challenge lies in defining this notion operationally. This book does precisely that and gives readers tools to think critically about process, outcome, and quality measures, via some understanding of systems, risk-adjustment modelling, and discriminating signal from noise in process data.

Core Curriculum for Neonatal Intensive Care Nursing - E-Book

Author: AWHONN

Publisher: Elsevier Health Sciences

Published: 2014-04-22

Total Pages: 944

ISBN-13: 0323265014

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Perfect as a resource in the field or for exam preparation, this authoritative reference from the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) includes in-depth coverage of the most common neonatal disorders and their management. The concise outline format highlights the essentials of each condition including definition, etiology, pathophysiology, signs and symptoms, diagnostic tests, treatments, and outcomes to help you find important information quickly. This new edition also features an increased focus on evidence-based practice, new CAMTS and AAMS guidelines, new techniques for PICC placement, and changes to the Neonatal Resuscitation Program. All necessary information to prepare for the neonatal intensive care nursing certification examination is included. Concise outline format provides access to important nursing considerations associated with the management of the most common conditions in the neonate. Text provides a collaborative effort between the three most authoritative associations in neonatal intensive care nursing - AWHONN, AACN, and NANN. Information on families, ethics, legal issues, research, case management, and the transition to home acknowledge the full scope of neonatal nursing practice. NEW! CAMTS and AAMS guidelines, techniques for PICC placement, and changes to the Neonatal Resuscitation Program are just a few of the updates that reveal the importance the new edition places on safety practices and procedures. NEW! Updated chapter on Patient Safety includes selected improvement strategies and resources for neonatal nurses to build a patient safety toolkit, discusses TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), and recognizes human issues, such as shift work and fatigue. NEW! Increased focus on evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. NEW! Strategies to promote inclusionary care better reflect nursing care today by focusing on family-centered care, comprehensive perinatal records, health care teams in the NICU, and best practices in the care of the late preterm infant. NEW! Comprehensively revised chapter on Immunology identifies risk factors for infection associated with term and preterm infants, distinguishes clinical symptoms and therapies associated with TORCHES CLAP spectrum infections, and includes prevention strategies for hospital-acquired infections. NEW! Thoroughly updated content and references reflect currency and technologic advances. NEW! Refocused chapter on Developmental Care guides the nurse to use assessment within the context of the environment and situation to initiate interventions in the moment or use patterns of responses for developing plans of care and presents core measures on evaluating developmental care practices in the NICU.

Merenstein & Gardner's Handbook of Neonatal Intensive Care E-Book

Author: Sandra Lee Gardner

Publisher: Elsevier Health Sciences

Published: 2010-04-01

Total Pages: 1041

ISBN-13: 0323081134

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The leading resource for collaborative critical care for newborns, Merenstein & Gardner’s Handbook of Neonatal Intensive Care, 7th Edition provides a multidisciplinary approach and a real-world perspective. It focuses on evidenced-based practice, with clinical directions in color for easy retrieval and review. Special features help you prioritize the steps in initial care, and provide a guide to sharing information with parents. With each chapter written jointly by both physicians and nurses, this book is comprehensive enough to suit the needs of the entire team in your neonatal intensive care unit. Unique! A multidisciplinary perspective is provided by an editorial team of two physicians and two nurses, and each chapter is written and reviewed by a physician and nurse team, so information mirrors the real-world experience in a neonatal intensive care unit. Unique! Clinical content is in color, so you can quickly scan through chapters for information that directly affects patient care. Unique! Parent Teaching boxes highlight the relevant information to be shared with a patient’s caregivers. Critical Findings boxes outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. Coverage in clinical chapters includes pathophysiology and etiology, prevention, data collection, treatment, complications, outcomes, prognosis, and parent education. Expanded Neonatal Surgery chapter covers all of the most common procedures in neonatal surgery. Follow-up of the Neonatal Intensive Care Unit Infant chapter is expanded to include coverage of outcomes management and discharge planning. Streamlined references are updated to include only the most current or classic sources.

Handbook on Neonatal ICU

Author: Neelam Kler

Publisher: Jaypee Brothers Medical Publishers

Published: 2020-04-30

Total Pages: 297

ISBN-13: 9389587239

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This book is a comprehensive guide to the diagnosis and management of disorders in the neonatal intensive care unit (ICU). Divided into 33 chapters, the text begins with discussion on neonatal resuscitation, fluid and electrolyte management, and parenteral and enteral nutrition. The following sections cover the management of numerous different disorders that may be encountered in neonates in the ICU. Separate chapters are dedicated to invasive and noninvasive ventilation. Each chapter is enhanced with tables, flowcharts and illustrations, as well as a summary of the key points of the topic, and self-assessment questions to assist learning. Key points Comprehensive guide to diagnosis and management of neonatal ICU patients Covers many different disorders, resuscitation and ventilation Highly illustrated with tables, flowcharts and diagrams Includes self-assessment questions to further enhance learning

Evaluating Quality of Death at the End of Life in Neonates in the NICU

Author: Christine A. Fortney

Publisher:

Published: 2012

Total Pages: 97

ISBN-13:

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Abstract: End-of-life (EOL) care for neonates admitted to the Neonatal Intensive Care Unit (NICU) is understudied and practice varies widely across centers and providers. We just do not have a clear understanding of those physiologic processes and other factors that can impact the quality of a neonatal death in the NICU. By not paying close attention to, and then not appropriately treating the symptoms the critically ill neonate expresses as death approaches, we may very well be depriving these infants and their families the opportunity for the "good" death one might hope for an infant.

Developmentally Supportive Care

Author: Margaret Eichel

Publisher:

Published: 2007

Total Pages: 87

ISBN-13: 9780979343629

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Merenstein & Gardner's Handbook of Neonatal Intensive Care

Author: Sandra Lee Gardner

Publisher: Elsevier Health Sciences

Published: 2015-04-30

Total Pages: 1136

ISBN-13: 032332083X

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Merenstein & Gardner's Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations - all in a practical quick-reference format for easy retrieval and review of key information. UNIQUE! Multidisciplinary author and contributor team consists of two physicians and two nurses, with each chapter written and reviewed by a physician-nurse team to ensure that information mirrors current, real-world practice in a neonatal intensive care unit. Critical Findings boxes and tables outline symptoms and diagnostic findings that require immediate attention, helping you prioritize assessment data and steps in initial care. UNIQUE! Clinical content highlighted in color allows you to quickly scan for information that directly affects patient care. UNIQUE! Parent Teaching boxes highlight relevant information to share with a patient's caregivers. Clinical images, graphs, and algorithms illustrate clinically relevant concepts in neonatal intensive care. Streamlined references include only the most current or classic sources. NEW! Coverage of the latest neonatal research, evidence, clinical guidelines, and practice recommendations addresses topics such as: women with chronic illnesses becoming pregnant; maternal obesity; hypotension and shock in premature infants; pain and sedation; dedicated feeding sets vs. IVs for safety; MRSA; pediatric stroke; autism screening; discharge coordination; and more. NEW! The latest AAP recommendations and guidelines for hypoglycemia, jaundice, herpes, respiratory syncytial virus, and neonatal transport team composition. EXPANDED! Revised Evidence-Based Clinical Practice chapter focuses on evidence-based practice and quality improvement and the role of qualitative research in EBP. EXPANDED! Updated Infection in the Neonate chapter features new GBS guidelines and CRP research.