Document Detail


Who is performing medical procedures in the neonatal intensive care unit?
MedLine Citation:
PMID:  21052046     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective:Owing to resident work-hour reductions and more permanent personnel in the newborn intensive care unit (NICU), we sought to determine if pediatric housestaff are missing learning opportunities in procedural training due to non-participation.Study Design:A prospective, observational study was conducted at an academic NICU using self-reported data from neonatal personnel after attempting 188 procedures on 109 neonates, and analyzed using Fisher's exact and χ (2)-tests.Result:Housestaff first attempted 32% of procedures (P<0.001) and were less likely to make attempts early in the academic year (P<0.001). There was no significant difference in attempts based on urgency of situation (P=0.742). Of procedures performed by non-housestaff personnel, 93% were completed while housestaff were present elsewhere in the unit.Conclusion:Pediatric housestaff performed the minority of procedures in the NICU, even in non-urgent situations, and were often uninvolved in other procedures, representing missed learning opportunities.
Authors:
Y F Gozzo; C L Cummings; R L Chapman; M J Bizzarro; M R Mercurio
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Publication Detail:
Type:  Journal Article     Date:  2010-11-04
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  31     ISSN:  1476-5543     ISO Abbreviation:  J Perinatol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  206-11     Citation Subset:  IM    
Affiliation:
1] Division of Neonatal and Perinatal Medicine, Yale University School of Medicine, New Haven, CT, USA [2] Department of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
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