Evidence map›Paper›PMID 40922477›Full record

Observational studyActa paediatrica (Oslo, Norway : 1992)2026

Video-Based Evaluation of Checklist Adherence on a Neonatal Intensive Care Unit: A Prospective Observational Study.

Lisa Kessler, Hannah Schwarz, Katharina Bibl, Robyn Dvorsky, Andrea Lietz, Lena Strasser, Vanessa Roth, Moritz Haderer, Katrin Klebermass-Schrehof, Tobias Werther and 2 more

Abstract readObservational Study
In one paragraph

Observational study in Acta paediatrica (Oslo, Norway : 1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Lisa KesslerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0009-0006-3836-2359
Hannah SchwarzDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Katharina BiblDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8326-4287
Robyn DvorskyDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.ORCID 0009-0009-4200-6359
Andrea LietzDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Lena StrasserDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Vanessa RothDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Moritz HadererDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Katrin Klebermass-SchrehofDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Tobias WertherDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Angelika BergerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.
Michael WagnerDivision of Neonatology, Pediatric Intensive Care and Neuropediatrics, Department of Pediatrics, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria.

Funding

Medizinisch-Wissenschaftlicher Fonds des Bürgermeisters der Bundeshauptstadt Wien MA 40-GMWF-21091
6 · The paper itself

Abstract

aimSuccessful procedural performance in a Neonatal Intensive Care Unit (NICU) depends on skill performance and preparation. Checklists are beneficial, and video reviewing enhances adherence to guidelines. This study assessed whether video recordings can be used to assess checklist deviations, the extent to which proceduralists (doctors from 1 to ≥ 6 years of experience) deviate from checklists, and whether video recordings can help to improve existing and create new checklists.

methodsIn this single-center study at the tertiary NICU of the Medical University of Vienna, Austria, fifty-one videos from six different procedures were analyzed: (i) intubation, (ii) insertion of a chest drain, (iii) insertion of an umbilical venous catheter (UVC), (iv) insertion of a central venous catheter (CVC), (v) lumbar puncture (LP), and (vi) puncture of Ommaya reservoir. Each step was scored using a 4-point scale (-1 to 2) using the corresponding checklist.

resultsTwenty proceduralists performed the 51 videos. 78% of all checklist steps were assessable through video analysis. Deviations were identified in each procedure (10%-17.9%). We created two new checklists by analyzing video recordings.

conclusionChecklist deviations occur regularly and can be detected by analyzing clinical video recordings. Video recordings are useful to revise existing and create new checklists.

Indexed as

ChecklistGuideline AdherenceIntensive Care Units, NeonatalVideo RecordingHumansInfant, NewbornProspective Studieschecklist deviationchecklist scoringNICUquality improvementvideo recording

Identifiers

PMID40922477
PMCPMC12687693

What OpenQuestion holds

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LicenceCC BY-NC
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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.