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

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.