Evidence map›Paper›PMID 38253677›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Early and consistent safe sleep practices in the neonatal intensive care unit: a sustained regional quality improvement initiative.

Stephanie K Napolitano, Nicole L Boswell, Patricia Froese, Rebecca D Henkel, Maria E Barnes-Davis, Danielle K Parham

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Barriers and facilitators to modeling safe sleep practices in the NICU: A qualitative study of nursing & parent perspectives.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. 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

6 authors at 1 institution in 2 countries.

Stephanie K Napolitano *Perinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0009-0000-3645-1805
Nicole L BoswellPerinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Patricia FroesePerinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Rebecca D HenkelPerinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Maria E Barnes-DavisPerinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0001-5760-740X
Danielle K Parham *Perinatal Institute, Division of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Danielle.Parham@cchmc.org.ORCID 0009-0002-6955-3204
Cincinnati Children's Hospital Medical Center · US

Funding

Towards biomarkers of resiliency in the extremely preterm child: a multimodal neuroimaging study of brain and environmentK23NS117734 · NINDS · CINCINNATI CHILDRENS HOSP MED CTR · PI BARNES-DAVIS, MARIA E · 2021 to 2024
$772k
NINDS NIH HHS K23 NS117734
6 · The paper itself

Abstract

objectiveTo increase compliance with standardized safe sleep recommendations for patients in a cohort of regional level III/IV neonatal intensive care units (NICUs) in accordance with recently revised guidelines issued by the American Academy of Pediatrics (AAP). STUDY

designA regional quality improvement (QI) initiative led by a multidisciplinary task force standardized safe sleep criteria across participating NICU sites. Universal and unit-specific interventions were implemented via Plan-Do-Study-Act (PDSA) cycles with evaluation of compliance through routine crib audits, run chart completion, and Pareto chart analysis.

resultsFollowing QI implementation, compliance with safe sleep guidelines for eligible NICU infants improved from 34% to 90% from October 2019 through September 2022.

conclusionCompliance with early, consistent modeling of safe sleep practices nearly tripled in this cohort of regional NICUs. A standardized, timely approach to safe sleep transition demonstrated dramatic and sustained improvement in the practice and modeling of safe sleep behaviors in the NICU.

Indexed as

Guideline AdherenceIntensive Care Units, NeonatalQuality ImprovementFemaleHumansInfant, NewbornPatient SafetyPractice Guidelines as TopicSleepSudden Infant Death

Identifiers

PMID38253677
OpenAlexW4391103127

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.