ArticleCureus2024
Improving Procedural Pain Management for Newborns in a Level 3 Neonatal Intensive Care Unit: A Quality Improvement Initiative.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNeonatal pain has been associated with numerous adverse outcomes, making pain management essential in the neonatal intensive care unit (NICU). Our specific, measurable, actionable, realistic, and timely (SMART) aim was to increase the proportion of neonates receiving pain management interventions during painful procedures from a baseline of less than 30% to above 50% within six months.
methodsThe Plan-Do-Study-Act (PDSA) model for improvement methodology was employed to improve pain management in the NICU between August 2022 and July 2023. Interventions included educational campaigns, monthly meetings, weekly huddles, smart order sets, readily available medication information, and accessibility. Data was collected by reviewing the electronic health record (EHR), and survey data was collected through anonymous surveys of the NICU staff. The outcome measures were the proportion of sucrose and 4% lidocaine orders placed and the proportion of procedures that received pain management interventions.
resultsDuring the period from August 2022 to July 2023, there were 383 newborns admitted to the NICU. On average, each newborn underwent 42.8 procedures during their hospital stay. The proportion of neonates who were ordered sucrose and 4% lidocaine increased from a baseline of 7% and 21% to 43% and 54% after the second PDSA cycle, respectively. The proportion of procedures for which sucrose and lidocaine were administered increased from 16% and 21% at baseline to 54% and 65% after the second PDSA cycle.
conclusionThe quality improvement (QI) methodology in conjunction with the education of NICU staff and the incorporation of smart order sets can be used to effectively increase the use of pain management interventions in the NICU.
Indexed as
Identifiers
What OpenQuestion holds
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.