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Updated: Aug 12, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Postconceptional age as the basis for neonatal case management
Insights
Critical pathways help manage the complex care of very preterm infants in the NICU. These pathways ensure consistent, high-quality, and cost-effective care for infants and their families.
Area of Science:
- Neonatal Medicine
- Healthcare Management
Background:
- Caring for very preterm infants in the Neonatal Intensive Care Unit (NICU) involves complex diagnoses, treatments, and tests.
- The healthcare environment requires comprehensive, high-quality, and cost-effective care for every infant and family.
Purpose of the Study:
- To introduce critical pathways as a tool for managing the care of very preterm infants.
- To facilitate a goal-oriented, interdisciplinary approach to infant care within the NICU setting.
Main Methods:
- Development and implementation of critical pathways.
- Pathways are based on gestational age at birth and postconceptional age.
- Application throughout the infant's hospital stay.
Main Results:
- Critical pathways provide consistency in care delivery.
- Pathways offer flexibility to adapt to individual infant needs.
- Facilitation of quality management in neonatal intensive care.
Conclusions:
- Critical pathways are effective in navigating the complexities of very preterm infant care.
- These pathways support an interdisciplinary approach, enhancing care quality and efficiency.
- Implementation of critical pathways aids in meeting the demands for cost-effective neonatal care.
Abstract:
Managing the care of the very preterm infant can become a maze of diagnoses, treatments, and tests that blur progress and expectations along an infant's extended course in the NICU. Yet the health care environment demands that comprehensive, high-quality, cost-effective care be provided each infant and family entrusted to our care. Critical pathways based on gestational age at birth and postconceptional age throughout the hospital stay facilitate the necessary goal-oriented, interdisciplinary approach to infant care by providing consistency, flexibility, and quality management.
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