Introduction of microsystems in a level 3 neonatal intensive care unit—an interprofessional approach. Issue 1 (December 2017)

• Record Type: Journal Article
• Authors: el Helou, Salhab; Samiee-Zafarghandy, Samira; Fusch, Gerhard; Wahab, Muzafar; Aliberti, Lynda; Bakry, Ahmad; Barnard, Deborah; Doucette, Joanne; el Gouhary, Enas; Marrin, Michael; Meyer, Carrie-Lynn; Mukerji, Amit; Nwebube, Anne; Pogorzelski, David; Pugh, Edward; Schattauer, Karen; Shah, Jay; Shivananda, Sandesh; Thomas, Sumesh; Twiss, Jennifer; Williams, Connie; Dutta, Sourabh; Fusch, Christoph
• Is Part Of: BMC health services research. Volume 17:Issue 1(2017)
• Page Start: 1
• Page End: 7
• Publication Date: 2017-12
• Subjects: Microsystem -- Neonatal intensive care unit -- Organizational structure -- Quality care; Public health -- Research -- Periodicals; Medical care -- Research -- Periodicals; 362.1072
• DOI: 10.1186/s12913-017-1989-6
• Languages: English
• ISSNs: 1472-6963

Abstract

Abstract Background Growth of neonatal intensive care units in number and size has raised questions towards ability to maintain continuity and quality of care. Structural organization of intensive care units is known as a key element for maintaining the quality of care of these fragile patients. The reconstruction of megaunits of intensive care to smaller care units within a single operational service might help with provision of safe and effective care. Methods/Design The clinical team and patient distribution lay out, admission and discharge criteria and interdisciplinary round model was reorganized to follow the microstructure philosophy. A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model. Discussion In depth examination of microsystem model of care in this study, provides systematic evaluation of this model on variable aspects of health care. The individual projects of this trial can be source of solid evidence for guidance of future decisions on optimized model of care for the critically ill newborns. Trial registration ClinicalTrial.gov, NCT02912780 . Retrospectively registered on 22 September 2016.