Evidence map›Paper›PMID 28109276›Full record

ArticleBMC health services research2017

Introduction of microsystems in a level 3 neonatal intensive care unit-an interprofessional approach.

Salhab El Helou, Samira Samiee-Zafarghandy, Gerhard Fusch, Muzafar Gani Abdul Wahab, Lynda Aliberti, Ahmad Bakry, Deborah Barnard, Joanne Doucette, Enas El Gouhary, Michael Marrin and 13 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02912780 (Introduction of Microsystems in a Level 3 Neonatal Intensive Care Unit - an Interprofessional Approach), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT02912780 unknown statusnot on this map

Introduction of Microsystems in a Level 3 Neonatal Intensive Care Unit - an Interprofessional Approach

TypeobservationalSponsorMcMaster Children's HospitalRan2013 to 2017Enrolled200ConditionsStress, Psychological, Inflammatory Bowel Diseases, Lung Diseases, Infant Nutrition Disorders
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

23 authors.

Salhab El HelouDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Samira Samiee-ZafarghandyDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.ORCID 0000-0002-8137-4383
Gerhard FuschDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Muzafar Gani Abdul WahabDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Lynda AlibertiDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Ahmad BakryDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Deborah BarnardDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Joanne DoucetteDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Enas El GouharyDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Michael MarrinDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Carrie-Lynn MeyerDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Amit MukerjiDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Anne NwebubeDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
David PogorzelskiDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Edward PughDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Karen SchattauerDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Jay ShahDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Sandesh ShivanandaDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Sumesh ThomasDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Jennifer TwissDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Connie WilliamsDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Sourabh DuttaDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Christoph FuschDivision of Neonatology, Department of Pediatrics, McMaster University, Hamilton, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. fusch@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrowth of neonatal intensive care units in number and size has raised questions towards ability to maintain continuity and quality of care. Structural organization of intensive care units is known as a key element for maintaining the quality of care of these fragile patients. The reconstruction of megaunits of intensive care to smaller care units within a single operational service might help with provision of safe and effective care. METHODS/

designThe clinical team and patient distribution lay out, admission and discharge criteria and interdisciplinary round model was reorganized to follow the microstructure philosophy. A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model. DISCUSSION: In depth examination of microsystem model of care in this study, provides systematic evaluation of this model on variable aspects of health care. The individual projects of this trial can be source of solid evidence for guidance of future decisions on optimized model of care for the critically ill newborns.

trial registrationClinicalTrial.gov, NCT02912780 . Retrospectively registered on 22 September 2016.

Indexed as

Intensive Care Units, NeonatalCanadaContinuity of Patient CareCritical IllnessDecision Support Systems, ClinicalHumansInfant, NewbornInterdisciplinary CommunicationPatient DischargeProgram EvaluationQuality of Health CareMicrosystemNeonatal intensive care unitOrganizational structureQuality care

Identifiers

PMID28109276
PMCPMC5251231

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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.