International Multicenter Video Review on Neonatal Procedures: Lessons Learned from a Collaborative Study

Area of Science:

• Neonatal Intensive Care
• Medical Education
• Quality Improvement

Background:

• Leiden University Medical Center (LUMC) and Medical University of Vienna (MUV) utilize video recording and review in their Neonatal Intensive Care Units (NICUs).
• Collaborative, multicenter video review sessions were initiated to foster international knowledge exchange between LUMC and MUV.

Purpose of the Study:

• To describe the experience of organizing collaborative, multicenter video review sessions.
• To report procedural variations and document lessons learned for improved neonatal care.
• To assess the feasibility and impact of this innovative educational approach.

Main Methods:

• An exploratory, descriptive study involving interprofessional Neonatal Intensive Care Unit (NICU) staff from LUMC and MUV.
• Five collaborative video review sessions were conducted using recordings of various neonatal procedures (e.g., intubation, surfactant administration, catheter insertion).
• Videos were selected for technical and clinical comparability; sessions included a mean of eight providers per center.

Main Results:

• A total of 19 relevant practice differences were identified across the reviewed procedures.
• Seven of these differences (37%) led to practice changes or new insights in one or both centers.
• A roadmap for organizing future multicenter video review sessions was developed.

Conclusions:

• Multicenter video review is a feasible and innovative educational strategy for Neonatal Intensive Care Units (NICUs).
• This method effectively identifies practice variations and promotes cross-institutional clinical refinement.
• The study highlights the potential for international collaboration to enhance neonatal care quality.