Evidence map›Paper›PMID 41372520›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Decreasing time to achieve reliable EKG signal in fetal care delivery room resuscitations.

Jennifer Healy, Heather C Kaplan, Amy T Nathan, Nicole Comley, Kristin Portaleos, Morgan Hill

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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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0citing papers in PubMed
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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

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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.

Jennifer HealyDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. Jennifer.Healy@cchmc.org.ORCID http://orcid.org/0009-0008-6478-5966
Heather C KaplanDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0003-0487-2781
Amy T NathanDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-6401-3519
Nicole ComleyDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Kristin PortaleosDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Morgan HillDivision of Neonatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-1114-9228

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo decrease the time to achieve a reliable EKG signal in the delivery room from 102 s to 60 s.

methodsSingle center quality improvement (QI) initiative in a Fetal Care Center Special Delivery Unit (SDU) from May 2023 to March 2024. Key drivers were identified and PDSA cycles were performed; interventions included purchasing new leads, implementation of a new lead placement process, and institution of a Delivery Room Time Out. Time to reliable EKG signal and effective positive pressure ventilation (PPV) were monitored using run charts with data obtained from review of routine video recordings of resuscitation.

resultsMedian time to EKG signal decreased from 102 to 58 s. Median time to effective PPV decreased from 92 to 44 s.

conclusionsWe successfully obtained EKG signals within 60 s in the delivery room; ongoing education was necessary to sustain this improvement.

Indexed as

Delivery RoomsQuality ImprovementResuscitationFemaleHumansPositive-Pressure RespirationPregnancyTime Factors

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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.