Related Experiment Video
Updated: Jul 8, 2026
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
"Right baby, right time: a multi-NICU quality improvement initiative using the 2022 NICHD BPD risk estimator to guide
A Martinez1, A Germain1, O Winners1
1Maternal, Fetal & Neonatal Institute, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA.
Objective:
Using the 2022 NICHD BPD risk estimator (BPDe2022) to improve timely identification of extremely preterm neonates at risk for bronchopulmonary dysplasia (BPD) and to optimize appropriate systemic corticosteroid (SC) therapy.
Study Design:
Quality Improvement initiative across three NICUs within Johns Hopkins Health System. Plan-Do-Study-Act (PDSA) cycles focused on EMR integration, documentation, and provider education on risk estimation and SC use. Included neonates born ≤28 6/7 weeks GA or ≤1000 g BW. Outcome, process, and balancing measures were tracked from April 2024 through April 2025.
Results:
BPD risk assessment documentation increased from 2% to 80%, and appropriate SC prescribing from 50% to 88%, temporally associated with intervention implementation. Mortality before 36 weeks PMA decreased from 19% to 4% (p < 0.001).
Conclusion:
Multi-NICU QI initiative successfully integrated the 2022 NICHD BPD risk estimator into clinical workflows, improving timely risk assessment and adherence to evidence-based corticosteroid prescribing and stewardship.
Related Concept Videos
01:29Drug Dosing: Infants and Children
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:24Dosage Regimen: Individualization
01:28Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions