Evidence map›Paper›PMID 32665688›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2020

Variability in the systems of care supporting critical neonatal intensive care unit transitions.

Heather C Kaplan, Erika M Edwards, Roger F Soll, Kate A Morrow, Jeffrey Meyers, Wendy Timpson, Howard Cohen, Marybeth Fry, Elizabeth Schierholz, Madge E Buus-Frank and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 17 citations in OpenAlex.

  1. Local availability of neonatal intensive care at rural hospitals with childbirth services.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. A quality improvement project improving post-operative transitions of care in a level IV NICU.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  3. Article
  4. Multidisciplinary evidence-based tools for improving consistency of care and neonatal nutrition.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  5. Shift-to-shift handoffs in the NICU: lessons learned from a large scale audit.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Observational
  6. Review
  7. Article
  8. Article
  9. 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

11 authors at 9 institutions in 1 country.

Heather C KaplanPerinatal Institute, James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. heather.kaplan@cchmc.org.
Erika M EdwardsVermont Oxford Network, Burlington, VT, USA.
Roger F SollVermont Oxford Network, Burlington, VT, USA.
Kate A MorrowVermont Oxford Network, Burlington, VT, USA.
Jeffrey MeyersDivision of Neonatology, Golisano Children's Hospital, University of Rochester Medical Center, Rochester, NY, USA.
Wendy TimpsonDepartment of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Howard CohenRandall Children's Hospital, Portland, OR, USA.
Marybeth FryAkron Children's Hospital, Akron, OH, USA.
Elizabeth SchierholzChildren's Hospital of Colorado, Aurora, CO, USA.
Madge E Buus-FrankDivision of Neonatology, The Children's Hospital, Lebanon, NH, USA.
Jeffrey D HorbarVermont Oxford Network, Burlington, VT, USA.
University of Vermont · USVermont Oxford Network · USAkron Children's Hospital · USChildren's Hospital at Dartmouth Hitchcock · USChildren's Hospital Colorado · USCincinnati Children's Hospital Medical Center · USGolisano Children's Hospital · USHarvard University · USRandall Children's Hospital at Legacy Emanuel · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAssess practices supporting care transitions for infants and families in the neonatal intensive care unit (NICU) using a model of four key drivers: communication, teamwork, family integration, and standardization. STUDY

designSingle-day audit among NICUs in the Vermont Oxford Network Critical Transitions collaborative addressing policies and practices supporting the four key drivers during admission, discharge, shift-to-shift handoffs, within hospital transfers, and select changes in clinical status.

resultsAmong 95 NICUs, the median hospital rate of audited policies in place addressing the four key drivers were 47% (inter-quartile range (IQR) 35-65%) for communication, 67% (IQR 33-83%) for teamwork, 50% (IQR 33-61%) for family integration, and 70% (IQR 56-85%) for standardization. Of the 2462 infants included, 1066 (43%) experienced ≥1 specified transition during the week prior to the audit.

conclusionsWe identified opportunities for improving NICU transitions in areas of communication, teamwork, family integration, and standardization.

Indexed as

Intensive Care Units, NeonatalPatient DischargeHospitalsHumansInfantInfant, NewbornVermont

Identifiers

PMID32665688
PMCPMC7359434
OpenAlexW3043540135

What OpenQuestion holds

Textmetadata
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.