Evidence map›Paper›PMID 27057320›Full record

ArticleMaternal health, neonatology and perinatology2015

Identifying improvements for delivery room resuscitation management: results from a multicenter safety audit.

Erika M Edwards, Roger F Soll, Karla Ferrelli, Kate A Morrow, Gautham Suresh, Joanna Celenza, Jeffrey D Horbar

Open access · goldAbstract read
In one paragraph

Article in Maternal health, neonatology and perinatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Analysis of neonatal resuscitation debriefings: mixed-methods results from a multicenter pilot study.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  4. Review
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  8. Improving neonatal resuscitation in Tennessee: a large-scale, quality improvement project.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  9. Review
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  11. Review
  12. Post-event debriefings during neonatal care: why are we not doing them, and how can we start?Journal of perinatology : official journal of the California Perinatal Association · 2016
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Erika M EdwardsVermont Oxford Network, Burlington, VT USA ; Department of Mathematics and Statistics, University of Vermont, Burlington, VT USA.
Roger F SollVermont Oxford Network, Burlington, VT USA ; Department of Pediatrics, University of Vermont, Burlington, VT USA.
Karla FerrelliVermont Oxford Network, Burlington, VT USA.
Kate A MorrowVermont Oxford Network, Burlington, VT USA.
Gautham SureshDepartment of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH USA.
Joanna CelenzaDepartment of Pediatrics, Dartmouth Hitchcock Medical Center, Lebanon, NH USA.
Jeffrey D HorbarVermont Oxford Network, Burlington, VT USA ; Department of Pediatrics, University of Vermont, Burlington, VT USA.
Vermont Oxford Network · USDartmouth–Hitchcock Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStabilization and resuscitation of a newborn infant is a complex activity that involves multiple team members. Neonatal intensive care units (NICU) participating in the Vermont Oxford Network (VON) iNICQ 2012 quality improvement collaborative reported on delivery room care policies and guidelines and submitted information on up to 10 consecutive deliveries attended by NICU team members. Teams received immediate feedback on their local performance and a summary of results from all participating units for use in quality improvement planning.

resultsMost of the 84 NICU teams that participated in the audit had policies or guidelines about which deliveries required NICU team attendance (83%), personnel who should attend (81%), and their required training (79%). Fewer had policies about briefing prior to the delivery (8%), debriefing after delivery (6%), or communicating with family members (10%). Eighty-one percent of NICUs reported using simulation-based resuscitation training, 14% used a safety checklist, and 2% videotaped deliveries for review. Of the 609 audited deliveries, 88% had team member attendance that conformed to unit policy, 66% had a briefing before delivery, 19% had a debriefing after delivery, and 92% had family communication occur within 30 minutes.

conclusionsNICU teams can improve the quality and safety of delivery room care by implementing formal tools designed to facilitate teamwork such as briefings, debriefings, checklists, and videotape reviews. Rapid online audits are effective methods for helping teams identify opportunities for improvement.

Indexed as

Cooperative behaviorDelivery roomsInfantNewbornPatient care team/organization & administrationPrematureResuscitation

Identifiers

PMID27057320
PMCPMC4772755
OpenAlexW2107095091

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.