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Development and evaluation of a clinical nursing decision support system for the prevention of neonatal hypoglycaemia

Qiaoyan Liu1, Lulu Sun2, Jie Yang3

  • 1Department of Endocrinology, Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.

BMC Medical Informatics and Decision Making
|December 23, 2024
PubMed

Insights

A new clinical nursing decision support system significantly reduced neonatal hypoglycemia incidence. This system improves risk assessment and management, ensuring better outcomes for newborns and enhancing standardized care.

Area of Science:

  • Neonatal care
  • Clinical decision support systems
  • Evidence-based nursing

Background:

  • Neonatal hypoglycemia is a common complication with potential for severe neurodevelopmental deficits or mortality.
  • Prompt risk assessment and preventive strategies are crucial for newborns.
  • Previous research developed a predictive model for neonatal hypoglycemia risk.

Purpose of the Study:

  • To develop a clinical nursing decision support system for neonatal hypoglycemia prevention.
  • To evaluate the efficacy of this system in a clinical setting.

Main Methods:

  • The system was developed using the nursing process, evidence-based nursing, standardized nursing language, and clinical decision support technology.
  • Implementation occurred in a tertiary hospital's neonatology department from September 1-30, 2023.
  • Efficacy was assessed by comparing hypoglycemia incidence, adverse outcomes, and nurses' experiences before and after implementation.

Main Results:

  • A statistically significant decrease in neonatal hypoglycemia incidence was observed post-implementation (P=0.033).
  • No neonates experienced adverse outcomes during hospitalization.
  • The rate of hypoglycemia risk assessment reached 92.16%, with a high overall effectiveness score.

Conclusions:

  • The developed system effectively assesses neonatal hypoglycemia risk, supports intelligent decision-making, and evaluates outcomes.
  • It significantly reduces the incidence of neonatal hypoglycemia.
  • The system enhances the standardization of neonatal hypoglycemia management.
Abstract

Keywords:
Clinical nursing decision support systemKnowledge baseNeonatal hypoglycaemiaRisk assessment

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