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Updated: Jul 14, 2026
19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
SAFE discharge for infants with high-risk home environments
Paula L Forsythe1, Rebecca Maher, Caren Kirchick
1Rainbow Babies and Children's Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA. Paula.Forsythe@UHhospitals.org
Summary
Safe infant discharge requires meeting criteria, family education, and community support. Key elements include social assessment, advocacy, family involvement, and environmental resources for a successful transition home.
Area of Science:
- Neonatal care
- Pediatric discharge planning
- Family-centered care
Background:
- High-risk infants require careful hospital-to-home transitions.
- Inadequate discharge planning can lead to adverse outcomes.
- Multifaceted approach is crucial for successful infant care transitions.
Purpose of the Study:
- To outline essential elements for safe high-risk infant discharge.
- To emphasize the role of family and community in infant care.
- To identify factors contributing to successful SAFE (Social assessment, Advocacy, Family involvement, Environmental resources) discharge.
Main Methods:
- Review of essential components for infant discharge.
- Identification of key factors for successful transitions.
- Conceptual framework for SAFE discharge.
Main Results:
- Safe discharge necessitates adherence to criteria, family education, and referral services.
- Involvement of community providers and parental psychosocial adaptation are vital.
- The SAFE framework (Social assessment, Advocacy, Family involvement, Environmental resources) promotes successful discharge.
Conclusions:
- A comprehensive approach integrating clinical, educational, and psychosocial elements ensures safe infant discharge.
- Collaboration between hospital teams, families, and community providers is essential.
- Addressing social, advocacy, family, and environmental factors optimizes infant transitions home.
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