ArticlePediatrics2023
Implementing Social Risk Screening and Referral to Resources in the NICU.
Article in Pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic disparities in the postnatal growth of preterm infants: a systematic review.Pediatric research · 2025Pooled it
- Social determinants of health screening and interventions in neonatal care pathways (NICU to follow-up): a scoping review.European journal of pediatrics · 2026Article
- Using Health Information Systems to Support Behavioral Interventions in Local Contexts: Scoping Review.JMIR medical informatics · 2026Review
- Interventions to support postpartum health and well-being of parents with infants in neonatal intensive care units: a scoping review.Frontiers in health services · 2026Review
- Skin-to-skin contact in neonatal intensive care units: a narrative review of implementation challenges and strategies within infant- and family-centered care.Frontiers in pediatrics · 2026Review
- Facilitating Postpartum Care with a Doula and Certified Nurse Midwife in the Neonatal Intensive Care Unit: A Qualitative Analysis of Maternal Experiences.Pregnancy (Hoboken, N.J.) · 2025Article
- Interventions to address inequities in infant mortality and morbidity in the NICU and beyond: A focus on the mother-infant dyad.Seminars in perinatology · 2025Review
- Neonatal Intensive Care Unit to Pediatric Intensive Care Unit Transfers: A Critical Juncture in the Trajectory of Neonatal Critical Illness.Journal of pediatrics. Clinical practice · 2025Article
- Lack of Parental Visitation as a Symptom, Not a Diagnosis: The Impact of Social Drivers of Health in the NICU.NeoReviews · 2025Article
- Associations between Health-Related Social Needs and Postpartum Linkage to Care.American journal of preventive medicine · 2025Article
- Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Associations between food insecurity and low birth weight severity in a national sample.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Racial and Ethnic Differences in Outcomes of Neonates Born at Less Than 30 Weeks' Gestation, 2018-2022.JAMA network open · 2024Article
- Quality Improvement to Identify and Address Food Insecurity During Pediatric Hospitalizations.Hospital pediatrics · 2024Article
- Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Research square · 2024Article
- Prescription for Cash? Cash Support to Low-Income Families in Maternal and Pediatric Health Care Settings.The Milbank quarterly · 2024Article
- Addressing Health-Related Social Needs and Mental Health Needs in the Neonatal Intensive Care Unit: Exploring Challenges and the Potential of Technology.International journal of environmental research and public health · 2023Article
- Increasing Rates of Health-related Social Needs Screening in a Pediatric Critical Care Setting Through Quality Improvement.Pediatric quality & safetyArticle
- Implementing a Social Needs Screening and Referral Program for Obstetrics and Gynecology Patients.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectiveSocial risk screening is recommended by the American Academy of Pediatrics, but this practice is underutilized in NICUs. To address this gap in social care, we aimed to increase rates of: (1) systematic social risk screening and (2) connection with community resources, each to ≥50% over a 14-month period.
methodsWe conducted a quality improvement initiative from November 2020 to January 2022. We adapted a screening tool and used Plan-Do-Study-Act cycles to integrate screening and referral to resources into clinical workflow. Primary outcome measures included the percentage of (1) families screened and (2) connection with resources. We examined screening by maternal race/ethnicity and primary language. Process measures were (1) time from admission to screening and (2) percentage of referrals provided to families reporting unmet needs and requesting assistance. We used statistical process control to assess change over time and χ2 tests to compare screening by race/ethnicity and language.
resultsThe rates of systematic screening increased from 0% to 49%. Among 103 families screened, 84% had ≥1, and 64% had ≥2 unmet needs, with a total of 221 needs reported. Education, employment, transportation, and food were the most common needs. Screening rates did not vary by race/ethnicity or language. Among families requesting assistance, 98% received referrals. The iterative improvement of a written resource guide and community partnerships led to increased rates of connection with resources from 21% to 52%.
conclusionLeveraging existing staff, our social risk screening and referral intervention built the capacity to address the high burden of unmet needs among NICU families.
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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.