Evidence map›Paper›PMID 40097930›Full record

ArticleBMC pediatrics2025

The perception of safety regarding the transfer of infants from the neonatal intensive care unit to a level II neonatology department: a mixed-method cohort study using a Safety-II approach.

Karen de Bijl-Marcus, Fenna Mossel, Kees Ahaus, Bettine Pluut, Manon Benders, Arjan Bruintjes, Martina Buljac-Samardzic

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Karen de Bijl-MarcusDepartment Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands. k.a.marcus@umcutrecht.nl.
Fenna MosselPluut & Partners, Vianen, The Netherlands.
Kees AhausDepartment Health Services Management & Organisation Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Bettine PluutPluut & Partners, Vianen, The Netherlands.
Manon BendersDepartment Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Arjan BruintjesRegional Ambulance Service Utrecht (RAVU), Utrecht, The Netherlands.
Martina Buljac-SamardzicDepartment Health Services Management & Organisation Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.

Funding

ZonMw 80-87300-98-032
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the perceived safety during the transfer process of infants from a Neonatal Intensive Care Unit (NICU) to a regional level II department. It sought to identify stakeholder agreements and divergences on safety and to determine the facilitators and barriers to achieving a high level of perceived safety.

designThis study employed a mixed-method cohort design and action research approach grounded in Safety-II principles.

settingThe study focused on transfers from a single Dutch university hospital NICU to multiple regional level II neonatology departments.

methodsSurveys were administered to parents and care professionals, including NICU staff, level II department staff, and ambulance personnel. The surveys consisted of both quantitative and open-ended questions. Data were analysed quantitatively and qualitatively, incorporating Safety-I and Safety-II perspectives, to assess the perceived safety and identify facilitators and barriers.

resultsA total of 46 transfers were evaluated by 239 stakeholders. The overall perception of safety was positive among all stakeholder groups. There were no significant differences in the overall level of perceived safety between parents and care professionals. However, stakeholder perceptions varied significantly across transfer phases. Qualitative analysis revealed facilitators and barriers related to timing, parental participation and information exchange.

conclusionThis study indicated consistently positive safety perceptions among parents and care professionals. Effective communication, parental participation and optimal timing were identified as crucial for enhancing safety perceptions during transfers.

Indexed as

Attitude of Health PersonnelIntensive Care Units, NeonatalNeonatologyPatient SafetyPatient TransferAdultCohort StudiesFemaleHospital DepartmentsHumansInfant, NewbornMaleNetherlandsParentsSurveys and QuestionnairesNeonatal intensive careSafetySafety-IISafety perceptionTransfer

Identifiers

PMID40097930
PMCPMC11912773

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.