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Record, reflect and refine: using video review as an initiative to improve neonatal care

Veerle Heesters1, Henriette A van Zanten2, Veerle Heijstek2

  • 1Division of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Center, Leiden, the Netherlands. v.heesters@lumc.nl.

Pediatric Research
|February 15, 2024
PubMed

Insights

Regular video review (VR) sessions empower neonatal care providers to identify and address numerous areas for improvement, fostering continuous learning and enhancing patient care quality.

Area of Science:

  • Neonatal care quality improvement
  • Medical education and training
  • Healthcare process optimization

Background:

  • Optimal patient care is a primary objective for medical teams.
  • Video review (VR) sessions were implemented to pinpoint and resolve issues in neonatal care.

Purpose of the Study:

  • To assess the effectiveness of VR in identifying and addressing areas for improvement in neonatal care.
  • To promote continuous learning and quality enhancement in neonatal healthcare settings.

Main Methods:

  • Neonatal procedures were video recorded over nine months and reviewed with care providers.
  • Action research methodology was employed to categorize and address identified areas for improvement.

Main Results:

  • 18 VR sessions involved an average of 17 staff members, identifying 120 areas for improvement.
  • Key themes included sterility, technique, equipment, communication, teamwork, parental perspective, and ventilation.
  • Improvement areas were categorized as protocol/equipment adjustments, research input, variety aspects, or educational material development.

Conclusions:

  • Regularly organized VR sessions empower healthcare providers to identify and address a wide range of improvement areas.
  • VR facilitates continuous learning, enhances teamwork, and supports the integration of evidence-based practices in neonatal care.
  • Structured pathways for implementing VR-identified changes can benefit other healthcare centers.
Abstract

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