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Related Concept Videos

Hearing01:31

Hearing

When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...

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Related Experiment Video

Updated: Jun 10, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses

Published on: January 23, 2017

Improving follow-up to newborn hearing screening: a learning-collaborative experience.

Shirley A Russ1, Doris Hanna, Janet DesGeorges

  • 1Department of Academic Primary Care Pediatrics, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA. shirlyruss@aol.com

Pediatrics
|August 4, 2010
PubMed
Summary

Improving newborn hearing screening follow-up is crucial. A quality improvement collaborative enhanced diagnosis rates by implementing strategies like better provider identification and family roadmaps.

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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Published on: March 24, 2023

Area of Science:

  • Healthcare Quality Improvement
  • Pediatric Audiology
  • Public Health Systems

Background:

  • Despite widespread newborn hearing screening, over 50% of infants failing the initial test lack a confirmed diagnosis.
  • This diagnostic gap highlights a critical need for improved follow-up processes in newborn hearing healthcare.

Purpose of the Study:

  • To enhance the quality of follow-up care for infants who do not pass newborn hearing screening.
  • To improve the rate of documented diagnoses for hearing loss in newborns.

Main Methods:

  • A breakthrough-series learning collaborative involving teams from 8 states.
  • Utilized the Model for Improvement (MFI) framework, including setting aims, tracking results, and plan-do-study-act (PDSA) cycles.
  • Integrated parents as equal partners in identifying and implementing system improvements.

Main Results:

  • Identified key strategies: confirming primary care provider, obtaining secondary contact information, standardized screening failure messages, and "roadmaps for families."
  • The collaborative approach fostered a system-level perspective on care, improving connections between services.
  • Participants reported a shift from individual service improvement to broader system-level enhancements.

Conclusions:

  • A learning-collaborative model is effective for state-system level quality improvement in newborn hearing loss diagnosis.
  • Continued efforts require refined performance measures, valid system indicators, and sustained family engagement.
  • Enhancing the diagnostic journey for families is essential for improving outcomes in pediatric audiology.