ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Improving Neonatal Adverse Childhood Experiences (ACEs) Screening in the NICU: A Quality Improvement Initiative.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAdverse Childhood Experiences (ACEs) are linked to various negative health outcomes. Although research typically focuses on ACEs during childhood and adulthood, emerging studies indicate that the effects of ACEs may affect neonates before birth. This study aimed to increase the percentage of neonates fully screened for ACEs in a Level III NICU from 2% to 50%.
designThe project involved developing and implementing a neonatal ACEs screening tool integrated into the electronic medical record. The screening process was refined through a series of Plan-Do-Study-Act (PDSA) cycles to improve the consistency of screening.
resultsOver six months, the proportion of neonates screened for ACEs increased from 2% to 75%. Implementing a separate progress note for ACEs assessments enhanced confidentiality, with 60% of screenings documented privately.
conclusionsThis quality improvement project successfully established a standardized neonatal ACEs screening process, resulting in a higher identification rate of neonates at social risk.
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