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The Framework of NICU-discharge Plan System for Preterm Infants in Iran: Duties, Components and Capabilities

Sedigheh Seyedfarajollah1, Fatameh Nayeri2, Sharareh R Niakan Kalhori1

  • 1Department of Health Information Management, School Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

Acta Informatica Medica : AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovina : Casopis Drustva Za Medicinsku Informatiku Bih
|May 3, 2018
PubMed

Insights

A comprehensive Neonatal Intensive Care Unit (NICU) discharge plan system is crucial for preterm infant care. Key findings highlight infant readiness checks, alarm messages, and parent checklists as vital components for successful home transition.

Area of Science:

  • Neonatal care
  • Healthcare systems engineering
  • Pediatric discharge planning

Background:

  • Developing a comprehensive discharge plan system for Neonatal Intensive Care Units (NICUs) can streamline the discharge process.
  • Such systems aim to enhance staff and parent satisfaction, improve preterm infant care, and minimize human error.

Purpose of the Study:

  • To define the essential duties, components, and capabilities of an NICU discharge plan system.
  • To establish the system as a multidimensional tool for managing the complex transition of preterm infants home.
  • To support parents in providing effective post-discharge care.

Main Methods:

  • A descriptive, qualitative study conducted in 2017.
  • Literature review to identify framework components (duties, components, capabilities).
  • Development and validation of a questionnaire (Cronbach's alpha > 0.82) with expert review and SPSS analysis.

Main Results:

  • 29 experts participated in the consensus process.
  • Consensus was reached on all statements regarding system duties.
  • Consensus was achieved on 12 out of 17 component statements and 12 out of 16 capability statements.

Conclusions:

  • Infant readiness assessment is the primary duty of the discharge system.
  • Key components include alarm messages for pre-discharge examinations and a parent readiness checklist.
  • Essential capabilities involve sending alarm messages and system registration/login functionalities.
Abstract

Keywords:
Intensive Care UnitsNeonatalinfantpatient dischargepremature

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