Simma B, den Boer M, Nakstad B, Küster H, Herrick H M, Rüdiger M, Aichner H, Kaufmann M
Department of Paediatrics, Academic Teaching Hospital, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
Division of Neonatology, Leiden University Medical Center, Leiden, The Netherlands.
Pediatr Res. 2024 Aug;96(3):610-615. doi: 10.1038/s41390-021-01865-0. Epub 2021 Nov 24.
Many factors determine the performance and success of delivery room management of newborn babies. Improving the quality of care in this challenging surrounding has an important impact on patient safety and on perinatal morbidity and mortality. Video recording (VR) offers the advantage to record and store work as done rather than work as recalled. It provides information about adherence to algorithms and guidelines, and technical, cognitive and behavioural skills. VR is feasible for education and training, improves team performance and results of research led to changes of international guidelines. However, studies thus far have not provided data regarding whether delivery room video recording affects long-term team performance or clinical outcomes. Privacy is a concern because data can be stored and individuals can be identified. We describe the current state of clinical practice in high- and low-resource settings, discuss ethical and medical-legal issues and give recommendations for implementation with the aim of improving the quality of care and outcome of vulnerable babies. IMPACT: VR improves performance by health caregivers providing neonatal resuscitation, teaching and research related to delivery room management, both in high as well low resource settings. VR enables information about adherence to guidelines, technical, behavioural and communication skills within the resuscitation team. VR has ethical and medical-legal implications for healthcare, especially recommendations for implementation of VR in routine clinical care in the delivery room. VR will increase the awareness that short- and long-term outcomes of babies depend on the quality of care in the delivery room.
许多因素决定了新生儿产房管理的成效与成功。在这一充满挑战的环境中提高护理质量对患者安全以及围产期发病率和死亡率有着重要影响。视频记录（VR）具有记录和存储实际操作而非回忆操作的优势。它能提供有关遵循算法和指南以及技术、认知和行为技能的信息。VR在教育和培训方面是可行的，能提高团队绩效，且相关研究成果促使国际指南发生了变化。然而，迄今为止的研究尚未提供关于产房视频记录是否会影响长期团队绩效或临床结果的数据。隐私是一个问题，因为数据可以存储且个人身份能够被识别。我们描述了高资源和低资源环境下的临床实践现状，讨论了伦理和医疗法律问题，并给出实施建议，旨在提高对脆弱婴儿的护理质量和治疗结果。影响：VR提高了医疗护理人员在新生儿复苏、与产房管理相关的教学和研究方面的表现，无论是在高资源还是低资源环境中。VR能够提供关于复苏团队遵循指南情况、技术、行为和沟通技能的信息。VR对医疗保健具有伦理和医疗法律影响，特别是关于在产房常规临床护理中实施VR的建议。VR将提高人们对婴儿短期和长期结局取决于产房护理质量的认识。
