Related Experiment Video
Updated: Sep 2, 2025
19:15
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
86.3K
Improving the Evidence-based Care of Febrile Neonates: A Quality Improvement Initiative
Lily Yu1, Rachel S Bensman1,2, Selena L Hariharan1,2
1Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Pediatric Quality & Safety
|August 5, 2022
Summary
We improved care for febrile neonates (0-60 days) by updating our algorithm. Adherence increased from 67% to 92% for older infants and 90% to 96% for younger infants.
Area of Science:
- Pediatric Emergency Medicine
- Quality Improvement Science
- Neonatal Care
Background:
- Febrile neonates (0-60 days) require standardized, evidence-based care.
- Previous care protocols had variable adherence rates.
- The study aimed to enhance adherence to a new care algorithm.
Purpose of the Study:
- To increase algorithm-adherent care for febrile infants aged 0-28 days from 90% to 95%.
- To increase algorithm-adherent care for febrile infants aged 29-60 days from 67% to 95%.
- To implement and sustain an updated care algorithm in the emergency department.
Main Methods:
- Utilized quality improvement (QI) methods and plan-do-study-act cycles.
- Interventions included algorithm revision, staff education, and integrated order sets.
- Monitored algorithm adherence and analyzed failures to refine interventions.
Main Results:
- Algorithm adherence for 0-28 day olds improved from 90% to 96%.
- Algorithm adherence for 29-60 day olds improved from 67% to 92%.
- Improvements were sustained for 22 months, with procalcitonin orders being a key factor for older infants.
Conclusions:
- QI methods successfully enhanced algorithm-adherent care for febrile neonates (0-60 days).
- Staff education and opt-out order sets were critical for successful implementation.
- The updated algorithm and interventions improved standardized care delivery.
Related Concept Videos
01:22Methods of reducing fever
738
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
738
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
01:27Nursing Clinical Information System
859
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
859
01:15Nursing Implementation
5.2K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.2K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.3K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.3K
01:18The Scientific Method in Nursing Process
12.3K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
12.3K