Introduction of Microsystems in a Level 3 Neonatal Intensive Care Unit - an Interprofessional Approach
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Change of stress level of Parents - Salivary cortisol (ng/dL)
研究概览
简要总结
The advancement in life-saving technologies and clinical expertise in the care of extremely premature infants, have resulted in the development of large neonatal intensive care units (NICU). It has been suggested that reconstruction of megaunits of neonatal intensive care to smaller care units with specific patient population and clinical team providers will be essential to maintain optimal teamwork, quality of care and patient outcome.
Despite the growing knowledge around the need for reconstruction of large NICUs to smaller units of care, there is no evidence regarding the safety and efficacy of microsystem model of care on the key aspects of health care. At the McMaster Children's Hospital (MCH), we planned a change from standard model of care to the microsystem model of care and therefore we aimed to prospectively assess the effect of this organizational change on the variable aspects of health care.
A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model.
The study was retrospectively registered.
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Change of stress level of Parents - Salivary cortisol (ng/dL)
时间窗: once every week, up to 3 month corrected age
Change of stress level of Health Care Professional - Salivary cortisol (ng/dL)
时间窗: once every week, up to 3 month corrected age
Incidence of necrotizing enterocolitis
时间窗: up to 3 month corrected age
Number of days with parenteral nutrition
时间窗: up to 3 month corrected age
Bayley scale - Psychomotor Developmental Index
时间窗: up to 3 month corrected age
Number of changes in the primary health care professionals
时间窗: up to 3 month corrected age
Incidence of bronchopulmonary dysplasia
时间窗: up to 3 month corrected age
use of resources (lab tests, X-rays, microbiological tests)
时间窗: up to 3 month corrected age
number of procedures
Change of stress level of Patients - Salivary cortisol (ng/dL)
时间窗: once every week, up to 3 month corrected age
Length of stay - days
时间窗: up to 3 month corrected age
Incidence of sepsis
时间窗: up to 3 month corrected age
Time to full feed - days
时间窗: up to 3 month corrected age
Noise level (decibel)
时间窗: up to 3 month corrected age
Time of feed initiation - days
时间窗: up to 3 month corrected age
Bayley scale - Mental Developmental Index
时间窗: up to 3 month corrected age
Incidence of retinopathia of prematurity
时间窗: up to 3 month corrected age
Duration of mechanical ventilation - days
时间窗: up to 3 month corrected age
次要结局
未报告次要终点
研究者
Christoph Fusch
Professor
McMaster Children's Hospital