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Implementation of Updated Hearing Screen Guidelines in a Level IV NICU-A Quality Improvement Project

Lovya George1, Jasminkumar B Patel1, Nesha Park1

  • 1Department of Neonatal-Perinatal Medicine, Children's Mercy-Kansas City, Kansas City, Missouri.

American Journal of Perinatology
|August 7, 2018
PubMed

Insights

Neonatal intensive care unit (NICU) infants, especially premature ones, face higher hearing loss risks. An updated screening algorithm in a level IV NICU aims to improve early detection and intervention for these vulnerable infants.

Area of Science:

  • Pediatrics
  • Neonatology
  • Audiology

Background:

  • Congenital hearing loss is a common birth defect.
  • Neonatal intensive care unit (NICU) infants are at increased risk.
  • Current guidelines may miss screening opportunities for high-risk infants, particularly those born before 34 weeks' gestation.

Purpose of the Study:

  • To develop and implement an improved hearing screening algorithm for NICU infants.
  • To enhance the early detection and intervention of hearing loss in high-risk neonates.
  • To address the gap in screening guidelines for infants born before 34 weeks' gestation.

Main Methods:

  • Quality improvement methodology was employed.
  • An updated hearing screen algorithm was developed.
  • An electronic medical record tool was implemented in a level IV NICU.

Main Results:

  • The updated algorithm and EMR tool aimed to improve the identification of infants requiring hearing screening.
  • The study focused on optimizing the screening process within the NICU setting.
  • Implementation targeted a higher rate of timely and appropriate hearing assessments.

Conclusions:

  • Early detection and intervention are crucial for developmental outcomes in children with hearing loss.
  • Optimizing NICU hearing screening processes is essential for high-risk infants.
  • The developed algorithm and tool have the potential to improve early identification and intervention for hearing impairment in neonates.

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