Evidence map›Paper›PMID 36601630›Full record

ArticlePediatric quality & safety

Implementation of a Standardized Premedication Bundle to Improve Procedure Success for Nonemergent Neonatal Intubations.

Ellen K Diego, Katherine Malloy, Toby Cox, Allison Broomall, Laura Orr, Christina Baxter, Sarah Meany, Nicole Baker, Jennifer Fraser, Kelly Sanders Corbin and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

13 authors at 2 institutions in 1 country.

Ellen K DiegoDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Katherine MalloyDepartment of Clinical Pharmacy and Outcome Science (CPOS), Medical University of South Carolina, Charleston, S.C.
Toby CoxDepartment of Clinical Pharmacy and Outcome Science (CPOS), Medical University of South Carolina, Charleston, S.C.
Allison BroomallDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Laura OrrDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Christina BaxterDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Sarah MeanyDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Nicole BakerDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Jennifer FraserDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Kelly Sanders CorbinTherapeutic and Professional Support Services, Respiratory Therapy, Medical University of South Carolina, Charleston, S.C.
Mathew J GregoskiDepartment of Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, S.C.
Carol L WagnerDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
Julie R RossDivision of Neonatology, Department of Pediatrics, University of Minnesota, Minneapolis, Minn.
University of Minnesota · USMedical University of South Carolina · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Academy of Pediatrics recommends premedication for all nonemergent neonatal intubations, yet there remains significant variation in this practice nationally. We aimed to standardize our unit's premedication practices for improved intubation success and reduced adverse events. Methods: The study workgroup developed educational material and protocol content. Process measures included premedication use, education, and audit form completion. Primary (success on first intubation attempt and adverse event rates) and secondary (trainee success) study outcomes are displayed using statistical process control charts and pre-post cohort comparisons. Results: Forty-seven percent (97/206) of nurses completed educational intervention before protocol release, with an additional 20% (42/206) following a staff reminder. Two hundred sixteen (216) patients were intubated per protocol with 81% (174/216) audit completion. Compared with baseline (n = 158), intubation attempts decreased from 2 (IQR, 1-2) to 1 (IQR, 1-2) ( Conclusions: Standardizing procedural care delivery reduced intubation attempts and increased the attempt success rate. However, this was accompanied by an increase in the rate of nonsevere adverse events.

Identifiers

PMID36601630
PMCPMC9799173
OpenAlexW4313545338

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.