A quality improvement initiative to reduce the time to initial maternal visit in the neonatal intensive care unit

ABSTRACT OBJECTIVE We aimed to reduce the time interval between an infant’s admission to the Neonatal Intensive Care Unit (NICU) and first maternal interaction. METHODS We identified three

key drivers: 1. Collaboration with Labor and Delivery, 2. Education of staff and parents, and 3. Improved documentation of maternal presence. We measured the time interval from NICU

admission to the initial maternal presence. We followed length of stay as a balancing measure to assay whether use of remote televisitation impeded efficient parental teaching and delayed

discharge. RESULTS We reduced the time interval from an average of 19.7 h in February 2020 to 12.3 h in June 2021. We expanded an already existing televisitation program as a surrogate to

in-person interaction during COVID-19 pandemic. Televisitation did not affect in-person parental presence or LOS. CONCLUSION Our multidisciplinary efforts resulted in a significantly

accelerated time to initial maternal presence and did not prolong LOS. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution

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LESSONS LEARNED FROM THE VERMONT OXFORD NETWORK Article 27 July 2021 VARIABILITY IN THE SYSTEMS OF CARE SUPPORTING CRITICAL NEONATAL INTENSIVE CARE UNIT TRANSITIONS Article 14 July 2020 NICU

DISCHARGE PREPARATION AND TRANSITION PLANNING: INTRODUCTION Article Open access 14 February 2022 DATA AVAILABILITY After de-identification, individual participant data that underlie the

results reported in this paper will be available to researchers who provide a methodologically sound proposal. To gain access, data requestors will need to sign a data access agreement.

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AFFILIATIONS * Division of Neonatology, Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA Padma S. Nandula, Josef Cortez, Ashley

Aderhold, Matthew Garber, Sanket D. Shah & Mark L. Hudak * Division of Pediatric Emergency Medicine, University of Mississippi Medical Center, Jackson, MS, USA Andrew Buckelew *

Carithers Pediatric Group, Jacksonville, FL, USA Dillon Snyder * Department of Pediatrics, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA Tina Smith, Ashley

Aderhold & Jennifer Meyers * Department of Emergency Medicine, University of Florida College of Medicine- Jacksonville, Jacksonville, FL, USA Ashley Aderhold & L. Kendall Webb

Authors * Padma S. Nandula View author publications You can also search for this author inPubMed Google Scholar * Andrew Buckelew View author publications You can also search for this author

inPubMed Google Scholar * Josef Cortez View author publications You can also search for this author inPubMed Google Scholar * Dillon Snyder View author publications You can also search for

this author inPubMed Google Scholar * Tina Smith View author publications You can also search for this author inPubMed Google Scholar * Ashley Aderhold View author publications You can also

search for this author inPubMed Google Scholar * Jennifer Meyers View author publications You can also search for this author inPubMed Google Scholar * Matthew Garber View author

publications You can also search for this author inPubMed Google Scholar * Sanket D. Shah View author publications You can also search for this author inPubMed Google Scholar * L. Kendall

Webb View author publications You can also search for this author inPubMed Google Scholar * Mark L. Hudak View author publications You can also search for this author inPubMed Google Scholar

CONTRIBUTIONS PN, JC- conceptualization, implementation, data collection and data analysis. AB, DS, JM, AA, SS- implementation and data collection. TS, KW- conceptualization, information

technology support, implementation. MG- conceptualization and data analysis. MH- conceptualization and implementation. CORRESPONDING AUTHOR Correspondence to Padma S. Nandula. ETHICS

DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION PUBLISHER’S NOTE Springer Nature remains neutral with regard to jurisdictional claims in

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agreement and applicable law. Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Nandula, P.S., Buckelew, A., Cortez, J. _et al._ A quality improvement initiative to reduce the

time to initial maternal visit in the neonatal intensive care unit. _J Perinatol_ 44, 446–451 (2024). https://doi.org/10.1038/s41372-023-01726-0 Download citation * Received: 22 February

2023 * Revised: 24 June 2023 * Accepted: 07 July 2023 * Published: 20 July 2023 * Issue Date: March 2024 * DOI: https://doi.org/10.1038/s41372-023-01726-0 SHARE THIS ARTICLE Anyone you share

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