ArticleJournal of perinatology : official journal of the California Perinatal Association2017
Alarm safety and oxygen saturation targets in the Vermont Oxford Network iNICQ 2015 collaborative.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Evaluation of two SpOBMC pediatrics · 2019Trial
- Observational
- The role of QI collaboratives in neonatology.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- A Bayesian Reanalysis of the Overall and Sex-Disaggregated Results of the Neonatal Oxygenation Prospective Meta-Analysis (NeOProM).Antioxidants (Basel, Switzerland) · 2024Article
- Determining an Optimal Oxygen Saturation Target Range Based on Neonatal Maturity: Demonstration of a Decision Tree Analytic.Diagnostics (Basel, Switzerland) · 2023Article
- Evaluation of the impact of oximeter averaging times on automated FiOFrontiers in pediatrics · 2023Article
- Experiences of a Regional Quality Improvement Collaborative to Reduce Unplanned Extubations in the Neonatal Intensive Care Unit.Children (Basel, Switzerland) · 2022Article
- Frequency and duration of extreme hypoxemic and hyperoxemic episodes during manual and automatic oxygen control in preterm infants: a retrospective cohort analysis from randomized studies.BMC pediatrics · 2022Article
- Endotypes of Prematurity and Phenotypes of Bronchopulmonary Dysplasia: Toward Personalized Neonatology.Journal of personalized medicine · 2022Review
- Application of the Neonatal Behavioral Assessment Scale to Evaluate the Neurobehavior of Preterm Neonates.Brain sciences · 2021Article
- Management of oxygen saturation monitoring in preterm newborns in the NICU: the Italian picture.Italian journal of pediatrics · 2021Article
- Variability in the systems of care supporting critical neonatal intensive care unit transitions.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Thresholds for oximetry alarms and target range in the NICU: an observational assessment based on likely oxygen tension and maturity.BMC pediatrics · 2020Observational
- Vermont Oxford Network: a worldwide learning community.Translational pediatrics · 2019Review
- Association between Policy Changes for Oxygen Saturation Alarm Settings and Neonatal Morbidity and Mortality in Infants Born Very Preterm.The Journal of pediatrics · 2019Article
- Adherence of Newborn-Specific Antibiotic Stewardship Programs to CDC Recommendations.Pediatrics · 2018Article
- Pulse Oximetry Targets in Extremely Premature Infants and Associated Mortality: One-Size May Not Fit All.Journal of nature and science · 2018Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess progress of neonatal intensive care units (NICUs) participating in the Vermont Oxford Network iNICQ 2015: Alarm Safety Collaborative in achieving Joint Commission 2014 alarm safety goals with respect to oximeters, and to compare patient-level oxygen saturation (SpO STUDY
designProspective multicenter audits in February and August 2015 assessed implementation of policies addressing Joint Commission 2014 Alarm Safety goals, and ascertained SpO
resultsEighty-six NICUs completed both audits. Of 13 policies addressing mandated goals, median (interquartile range) 8 (5, 9) policies were implemented at audit 1 and 9 (6, 11) at audit 2 (P=0.004). At audit 1, 28 NICUs had implemented ⩾9 policies versus 47 at audit 2. For 794 infants <31 weeks gestation, <36 weeks postmenstrual age, and on supplemental oxygen, median SpO
conclusionsParticipating NICUs showed significant progress between audits in their implementation of Joint Commission Alarm Safety goals for oximeter monitoring. Oximeter high alarm not set per local policy is associated with increased hyperoxemia in preterm infants. Recommendations to standardize oxygen saturation targets for infants at risk for oxygenation-related outcomes have not been widely adopted.
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Registered trials
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.