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Updated: Aug 9, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
International developments in newborn screening quality assurance
1National Testing Centre, Auckland, New Zealand.
Insights
This study outlines five quality dimensions for newborn screening programs: Accessibility, Acceptability, Effectiveness, Efficiency, and Safety. Applying these parameters helps quantify program improvements for better newborn health outcomes.
Area of Science:
- Public Health
- Healthcare Quality Management
Background:
- Newborn screening programs are complex, involving multiple interlinked components.
- Ensuring high quality across all stages is crucial for effective newborn health surveillance.
Purpose of the Study:
- To define and apply the five dimensions of quality to newborn screening programs.
- To establish a framework for quantifying improvements in screening program performance.
Main Methods:
- Utilized the five established quality dimensions: Accessibility, Acceptability, Effectiveness, Efficiency, and Safety.
- Examined the interlinked components of a newborn screening program, including planning, collection, testing, follow-up, diagnosis, and treatment.
Main Results:
- Quality is dependent on the successful integration and performance of all program components.
- Outcome assessment and feedback loops are essential for continuous program enhancement.
Conclusions:
- The five quality dimensions provide a quantifiable method for assessing and improving newborn screening programs.
- Systematic application of these parameters can lead to more effective and safer newborn screening.
Abstract:
The five dimensions of quality are Accessibility, Acceptability, Effectiveness, Efficiency and Safety. A newborn screening program consists of a number of interlinked parts, not usually managed by the same individual, and the quality of the program is dependent on the quality of program planning, specimen collection, laboratory testing and follow up, diagnosis and treatment. Outcome assessment and feedback into program planning complete the loop. Use of the quality parameters can quantify ongoing improvements to our screening programs.
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