Department of Pediatrics, Neonatology Regional Program, Seattle Children's Hospital, Seattle, Washington.
Division of Neonatology, Department of Pediatrics, University of Washington, Seattle, Washington.
Am J Perinatol. 2024 May;41(S 01):e2436-e2443. doi: 10.1055/a-2115-8530. Epub 2023 Jun 22.
The objective of this program evaluation was to describe the outcomes of daily neonatologist telerounding with the onsite advanced practice provider (APP) in a Level II neonatal intensive care unit (NICU), before and during the coronavirus disease 2019 (COVID-19) pandemic.
Bedside telerounding occurred with an onsite APP using a telehealth cart and paired Bluetooth stethoscope. Data collected by longitudinal and cross-sectional surveys and chart review before (May 2019-February 2020) and during (March 2020-February 2021) the COVID-19 pandemic were analyzed using descriptive statistics and thematic analysis.
A total of 258 patients were admitted to the Level II NICU before (May 2019-February 2020) and during (March 2020-February 2021) the COVID-19 pandemic. Demographic characteristics and outcomes, including breastfeeding at discharge and length of stay were similar pre- and postonset of the COVID-19 pandemic. Postrounding surveys by 10 (response rate 83%) neonatologists indicated parents were present in 80 (77%) of rounds and video was at least somewhat helpful in 94% of cases. Cross-sectional survey responses of 23 neonatologists and APPs (response rate 62%) indicated satisfaction with the program. Common themes on qualitative analysis of open-ended survey responses were "need for goodness of fit" and "another set of eyes" and "opportunities for use."
Daily telerounding with neonatologists and APPs in a Level II NICU supported neonatal care. Quality metrics and clinical outcomes are described with no differences seen before and during the COVID-19 pandemic.
· Little is known about Level II NICU quality metrics and outcomes.. · Daily bedside telerounding with neonatologists and APPs is described.. · Telerounding supported neonatal care before and during the COVID-19 pandemic.. · Neonatologists found visual exam helpful in the majority of cases.. · No differences in NICU clinical outcomes were seen during the COVID-19 pandemic..
本项目评估的目的是描述在 2 级新生儿重症监护病房（NICU）中，在冠状病毒病 2019（COVID-19）大流行之前和期间，每天由新生儿科医生与现场高级执业护士（APP）进行远程查房的结果。
使用远程医疗推车和配对的蓝牙听诊器，由现场 APP 进行床边远程查房。通过在 COVID-19 大流行之前（2019 年 5 月至 2020 年 2 月）和期间（2020 年 3 月至 2021 年 2 月）进行的纵向和横断面调查以及图表审查收集数据，使用描述性统计和主题分析对数据进行分析。
在 COVID-19 大流行之前（2019 年 5 月至 2020 年 2 月）和期间（2020 年 3 月至 2021 年 2 月），共有 258 名患者被收治在 2 级 NICU。人口统计学特征和结局，包括出院时的母乳喂养和住院时间，在 COVID-19 大流行之前和之后相似。10 名（回应率 83%）新生儿科医生的随访后调查显示，父母在 80 次查房中（77%）在场，94%的情况下视频至少在一定程度上有所帮助。23 名新生儿科医生和 APP （回应率 62%）的横断面调查回应显示对该计划感到满意。对开放式调查回应的定性分析的共同主题是“需要合适”和“另一双眼睛”和“使用机会”。
在 2 级 NICU 中，每日由新生儿科医生和 APP 进行远程查房支持新生儿护理。描述了质量指标和临床结局，在 COVID-19 大流行之前和期间没有发现差异。
· 关于 2 级 NICU 的质量指标和结果知之甚少。· 描述了每日床边远程查房，由新生儿科医生和 APP 进行。· 在 COVID-19 大流行之前和期间，远程查房支持新生儿护理。· 新生儿科医生发现大多数情况下视觉检查很有帮助。· 在 COVID-19 大流行期间，NICU 的临床结局没有差异。
