Preparing for unplanned admissions to the NICU
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Dubeck, Deborah, author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2017
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Intensive Care Units, Neonatal -- utilization Patient Admission -- trends Hyperbilirubinemia Hypoglycemia Infant, Low Birth Weight Infant, Newborn Infant, Premature Infection Neonatal Abstinence Syndrome Respiratory Distress Syndrome, Newborn Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- An admission to the neonatal intensive care unit (NICU) may be planned if problematic maternal or fetal conditions have been identified during the pregnancy. However, in other instances, an unplanned admission to the NICU may happen because of unexpected maternal, fetal, delivery, or post-delivery conditions. In the United States, the number of admissions to the NICU continues to rise, with most infants presenting as preterm, with a low birth weight or with a clinical condition requiring specialized care. In addition, in the past two decades, more information has become available on the unique risks and treatment needs for infants identified as late preterm (34 0/7 to 36 6/7 weeks' gestational age). Providers in Pennsylvania asked the Pennsylvania Patient Safety Authority to review and report conditions and trends related to unplanned admissions to the NICU that have been identified from submitted reports. In response to this request, Pennsylvania Patient Safety Reporting System (PA-PSRS) data was analyzed at five-year intervals (2006, 2011, and 2016), which included 3,385 reports. Of these reports, 95.5% (n = 3,231) were submitted as Incidents that resulted in no patient harm. Analysis of PA-PSRS data revealed that both premature and term infants experienced unplanned admissions to the NICU. Admissions to the NICU generally increased during the reporting period, and a single event report may describe multiple associated conditions. The most frequently reported conditions related to an unplanned admission to the NICU were respiratory distress (29.5%), metabolic issues such as hypoglycemia and hyperbilirubinemia (16.2%), prematurity (9.5%), neonatal abstinence syndrome (NAS; 7.6%), and infection (6.1%).
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (13 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101718729 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101718729