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Updated: Jan 25, 2026
09:31
Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
1.5K
Preparing for Discharge From the Neonatal Intensive Care Unit.
Munish Gupta1, DeWayne M Pursley2, Vincent C Smith2
1Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts; and Harvard Medical School, Boston, Massachusetts mgupta@bidmc.harvard.edu.
Pediatrics
|May 5, 2019
Summary
Quality improvement initiatives significantly enhanced discharge readiness for families in the neonatal intensive care unit (NICU). Parental and nurse assessments showed improved emotional and technical readiness for NICU discharge.
Area of Science:
- Neonatal care
- Quality improvement science
- Healthcare management
Background:
- Discharge readiness is critical for neonatal intensive care unit (NICU) family outcomes.
- An ongoing quality improvement (QI) initiative has been in place since 2003.
- The initiative focuses on improving NICU discharge preparation and family readiness.
Purpose of the Study:
- To implement and assess iterative improvements in the NICU discharge preparation process.
- To measure changes in parental and nurse-assessed discharge readiness over time.
- To evaluate the effectiveness of a QI model in enhancing NICU family preparedness.
Main Methods:
- A multidisciplinary committee iteratively improved the discharge preparation process.
- Discharge readiness was assessed using parental and nurse surveys.
- Statistical process control charts analyzed improvement in outcome and process measures.
Main Results:
- Significant improvements were observed in all primary outcome measures.
- Parental self-assessment of discharge readiness increased from 85.1% to 89.1%.
- Nurse assessments of emotional and technical discharge readiness improved from 81.2% to 90.5% and 81.4% to 87.7%, respectively.
Conclusions:
- Quality improvement methodology effectively measures and enhances NICU family discharge readiness.
- This structured approach provides a framework for systematic evaluation and improvement of NICU discharge processes.
- The findings support the use of QI models to optimize family preparedness for NICU discharge.
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