Evidence map›Paper›PMID 41125962›Full record

ArticlePediatric research2026

Enhancing neonatal vascular access: proposing a patient-centered framework based on 7-Rights.

Matheus F P T van Rens, Kevin Hugill, Robin van der Lee, Fiammetta Piersigilli, Bernhard Schwaberger, Silke Mader, Agnes van den Hoogen

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Article in Pediatric research, 2026. 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. Review
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.

Matheus F P T van RensNeonatal Intensive Care Unit, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands. Roland.vanRens@radboudumc.nl.ORCID http://orcid.org/0000-0001-9359-0895
Kevin HugillFormerly of Neonatal Intensive Care Unit, Women's Wellness and Research Center, Doha, Qatar.ORCID http://orcid.org/0000-0002-3096-9635
Robin van der LeeNeonatal Intensive Care Unit, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-4487-2962
Fiammetta PiersigilliNeonatal Intensive Care Unit, Louvain University, Saint Luc, Brussels, Belgium.ORCID http://orcid.org/0000-0002-6581-2822
Bernhard SchwabergerDivision of Neonatology, Department of Paediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0001-5499-3712
Silke MaderThe European Foundation for the Care of Newborn Infants (EFCNI), München, Germany.ORCID http://orcid.org/0000-0002-3396-0177
Agnes van den HoogenDivision Woman and Baby Wilhelmina Children's Hospital Utrecht, Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-2032-2472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal vascular access (VA) is a critical component of neonatal intensive care. However, VA remains a high-risk procedure associated with pain and serious complications. Despite the availability of evidence-based guidelines, variability in practice persists, leading to inconsistent patient outcomes. A standardized, patient-centered approach could enhance patient safety, experience, and outcomes. The '7-Rights Framework for Neonatal VA' emerged through international expert consensus. This framework uses the concept of patient rights, the '7-Rights' - Right Patient, Right Care Team, Right Comfort Measures, Right VA Device, Right Blood Vessel, Right Care of the Infusion and Device, and Right Therapy Duration and Device Removal to integrate best evidence-based practice, ethical considerations, and family involvement. Recognizing the need for a standardized approach to VA and simultaneously considering individual needs, the framework readily provides guiding principles for developing individualized Vascular Access Management Plans (VAMP). In addition to proposing the 7-Rights framework, this article advocates for its operationalization in a VAMP that encompasses the entire VA process, from planning, device selection, insertion, maintenance, monitoring, and quality control. A VAMP based on the 7-Rights framework has the potential to individualize VA care, improve consistency, enhance patient safety, and facilitate quality improvement initiatives. IMPACT: Key message Introduces the 7-Rights Framework as a structured, patient-centered model to guide neonatal vascular access (VA) decisions. What it adds Translates human rights principles into clinical VA practice, integrating ethical standards and family involvement. Proposes the use of individualized Vascular Access Management Plans (VAMPs) to operationalize the framework. Impact Addresses current gaps in standardization, safety, and consistency across NICUs. Provides a universal guide to support clinicians in reducing complications and improving neonatal outcomes.

Indexed as

Intensive Care, NeonatalPatient-Centered CarePatient RightsVascular Access DevicesHumansInfant, NewbornIntensive Care Units, NeonatalPatient Safety

Identifiers

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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.