Evidence map›Paper›PMID 39955456›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Identifying barriers to complying with new restrictive NICU transfusion guidelines.

Sarah M Tweddell, Thomas M Morelli, Timothy M Bahr, Ashley Krueger, Robert D Christensen, Robin K Ohls

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Assessment of iron sufficiency in premature infants treated with darbepoetin using conventional and novel erythrocyte metrics.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  2. Redefining neonatal thrombocytopenia: an evidence-based approach, improved by the refineR algorithm.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. A CBC drawn postnatally from umbilical cord blood can provide valuable diagnostic information for infants admitted to the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Article
  5. Designing and implementing a clinical decision support tool to improve compliance with NICU transfusions.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  6. Article
  7. Article
  8. 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.

Sarah M TweddellDepartment of Neonatology, Intermountain Healthcare, Murray, UT, USA.
Thomas M MorelliDepartment of Mathematics, University of California at Berkeley, Berkely, CA, USA.
Timothy M BahrDepartment of Neonatology, Intermountain Healthcare, Murray, UT, USA. tim.bahr@hsc.utah.edu.ORCID http://orcid.org/0000-0002-7946-0290
Ashley KruegerHealthcare Delivery Institute, Intermountain Health, Murray, UT, USA.
Robert D ChristensenDepartment of Neonatology, Intermountain Healthcare, Murray, UT, USA.ORCID http://orcid.org/0000-0001-5872-582X
Robin K OhlsDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0003-2865-8878

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur NICU transfusion stewardship group proposed new, more restrictive guidelines for red blood cell and platelet transfusions. To evaluate our clinician's support for these, we conducted a series of structured interviews. STUDY

designWe presented 11 scenarios involving the new guidelines to each of 24 clinicians. After every scenario we asked whether they would abide by the guideline, and if not, why.

resultsFor 88% of scenarios, participants said they supported the guideline and would not transfuse. The most common reasons for wanting to transfuse when the guidelines said not to were; 1) the scenario-patient did not meet the guideline but was "close" and 2) the guideline was insufficiently explicit.

conclusionsStructured interviews like these can identify barriers to complying with transfusion guidelines and can suggest guideline modifications. Future studies will determine the effect of this discovery process on guideline adherence and patient outcomes.

Indexed as

Blood TransfusionGuideline AdherenceIntensive Care Units, NeonatalPersonnel, HospitalPractice Guidelines as TopicAdultAttitude of Health PersonnelFemaleHumansInfant, NewbornInterviews as TopicMaleMiddle AgedQualitative Research

Identifiers

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.