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Enhancing neonatal vascular access: proposing a patient-centered framework based on 7-Rights.

Matheus F P T van Rens1,2, Kevin Hugill3,4, Robin van der Lee5

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Neonatal vascular access (VA) can be improved with the new 7-Rights Framework. This patient-centered approach, operationalized through Vascular Access Management Plans (VAMPs), enhances safety and outcomes for infants.

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Area of Science:

  • Neonatal intensive care
  • Medical procedures
  • Patient safety

Background:

  • Neonatal vascular access (VA) is essential but high-risk, causing pain and complications.
  • Existing guidelines show practice variability, impacting patient outcomes.
  • A standardized, patient-centered approach is needed to improve neonatal care.

Purpose of the Study:

  • Introduce the 7-Rights Framework for Neonatal VA.
  • Promote the development of individualized Vascular Access Management Plans (VAMPs).
  • Enhance patient safety, experience, and outcomes in neonatal intensive care units.

Main Methods:

  • International expert consensus developed the 7-Rights Framework.
  • The framework integrates evidence-based practice, ethics, and family involvement.
  • Advocates for operationalizing the framework within VAMPs covering the entire VA process.

Main Results:

  • The 7-Rights Framework provides guiding principles for VAMPs.
  • VAMPs operationalize the framework across all VA stages.
  • The framework aims to standardize VA care and improve consistency.

Conclusions:

  • The 7-Rights Framework offers a structured, patient-centered model for neonatal VA.
  • Integrating human rights principles into clinical practice enhances ethical care.
  • VAMPs based on this framework can improve neonatal outcomes and safety.