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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

The high-reliability pediatric intensive care unit.

Matthew F Niedner¹, Stephen E Muething, Kathleen M Sutcliffe

¹Pediatric Intensive Care Unit, Division of Critical Care Medicine, Department of Pediatrics, Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, MI 48109-0243, USA. mniedner@med.umich.edu

Pediatric Clinics of North America

|May 4, 2013

Summary

Reliability in healthcare means processes function as intended under real conditions. This article explores achieving high reliability in pediatric critical care for improved patient outcomes.

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Area of Science:

Healthcare quality improvement
Clinical process engineering
Patient safety research

Background:

Defining healthcare reliability as consistent performance under actual conditions.
Highlighting the gap between ideal study conditions and real-world clinical practice.
Establishing reliability as a critical metric for health service evaluation.

Purpose of the Study:

To outline the current status of reliability in clinical settings.
To discuss fundamental principles governing healthcare reliability.
To explore characteristics of high-reliability organizations (HROs) for pediatric critical care.

Main Methods:

Literature review on healthcare reliability principles.
Analysis of high-reliability organization models.
Conceptual framework development for pediatric critical care.

Main Results:

Current state of reliability in clinical practice is variable.
General principles of reliability are applicable to healthcare.
High-reliability organizations offer a model for enhanced safety and performance.

Conclusions:

Pediatric critical care can benefit from adopting high-reliability principles.
Focusing on reliability can improve patient outcomes and system performance.
Transitioning to a high-reliability state requires systemic change and commitment.