ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Improving the quality of newborn screening dry blood spot specimens in the nursery.
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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Authors and funding
6 authors.
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Abstract
backgroundDefective newborn screening (NBS) specimens require repeat collection, potentially delaying care and increasing healthcare costs.
objectiveTo reduce unsatisfactory NBS rates in the well-baby nursery from 35% to <10% over 12-months through establishment of a dedicated specimen collection team.
methodsStaff education, establishment of a specimen collection team, and pre-dispatch review were implemented. Outcome measure was the unsatisfactory specimen rate. Process measure was the proportion of specimens collected by the specimen collection team. Balancing measure was the proportion of specimens obtained >48 h after birth.
resultsDuring the intervention period (n = 2395), unsatisfactory specimen rate decreased to 5.3% with special cause variation, exceeding our target, and was sustained for 18 months (n = 3668). The specimen collection team collected all specimens. Specimens obtained >48 h after birth decreased from 6.5% to 4.7%.
conclusionNBS specimen collection by trained staff with pre-dispatch review can improve specimen quality without impacting the timeliness of screening.
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Registered trials
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