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About:
Screening With Reticulocyte Hemoglobin Increased Iron Sufficiency Among NICU Patients
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schema:ScholarlyArticle
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Screening With Reticulocyte Hemoglobin Increased Iron Sufficiency Among NICU Patients
Creator
Ba,
Caughey, Daniel
Feldman, A
Ha, Feldman
Hashim, Emily
Henry, ;
Jc, Yuen
Jenny, ;
Ke, Lindamood
Leeman, Kristen
Lindamood, Kristen
Moline, Mark
Morton, Sarah
Rudie, Coral
Sims, Jessica
Sola-Visner, Martha
Su, Morton
Yuen, Chan
topic
covid:91c96448bc56240985e5b73ae06ea9cb79059598#this
Source
PMC
abstract
INTRODUCTION: To increase the rate of iron sufficiency among neonatal intensive care unit (NICU) patients from 16% to >35% within 12 months of implementing standardized assessment of reticulocyte hemoglobin (retHE). METHODS: We implemented a quality improvement (QI) study to improve iron sufficiency in our out-born level III/IV NICU. We screened 2,062 admissions, of which 622 were eligible based on feeding status at discharge. QI interventions included educational efforts and guideline implementation. Our primary outcome measure was the percentage of patients with their discharge retHE measure within the normal range. We also tracked the process measure of the number of retHE tests performed and a balancing measure of the incidence of elevated retHE among patients receiving iron supplementation. Statistical process control (SPC) charts assessed for special cause variation. RESULTS: The percentage of patients with a retHe within the normal range was significantly increased from a mean of 20% to 39% on SPC chart analysis. We measured significantly more retHE values after guideline implementation (11/mo to 24/mo) and found no cases of elevated retHE among patients receiving iron supplementation. CONCLUSIONS: After the implementation of a standardized guideline, a higher rate of iron sufficiency was found in NICU patients at discharge. This work is generalizable to neonatal populations with the potential for a significant impact on clinical practice.
has issue date
2020-02-13
(
xsd:dateTime
)
bibo:doi
10.1097/pq9.0000000000000258
bibo:pmid
32426625
has license
cc-by-nc-nd
sha1sum (hex)
91c96448bc56240985e5b73ae06ea9cb79059598
schema:url
https://doi.org/10.1097/pq9.0000000000000258
resource representing a document's title
Screening With Reticulocyte Hemoglobin Increased Iron Sufficiency Among NICU Patients
has PubMed Central identifier
PMC7190262
has PubMed identifier
32426625
schema:publication
Pediatr Qual Saf
resource representing a document's body
covid:91c96448bc56240985e5b73ae06ea9cb79059598#body_text
is
http://vocab.deri.ie/void#inDataset
of
proxy:http/ns.inria.fr/covid19/91c96448bc56240985e5b73ae06ea9cb79059598
is
schema:about
of
named entity 'iron'
named entity 'study'
named entity 'performed'
named entity 'assessed'
named entity 'charts'
named entity 'Hemoglobin'
named entity 'educational'
named entity 'balancing'
named entity 'Introduction'
named entity 'normal'
named entity 'patients'
named entity 'screened'
named entity 'receiving'
named entity 'neonatal'
named entity 'level'
named entity 'Iron'
named entity 'special cause variation'
named entity 'retHE'
named entity 'hemoglobin'
named entity 'clinical practice'
named entity 'neonatal'
named entity 'significant impact'
named entity 'retHE'
named entity 'retHE'
named entity 'reticulocyte'
named entity '20%'
named entity 'Hemoglobin'
named entity 'Methods'
named entity 'pediatricians'
named entity 'multidisciplinary'
named entity 'NICU'
named entity 'NICU'
named entity 'retHE'
named entity 'Sysmex'
named entity 'Tarrytown'
named entity 'NICU'
named entity 'iron supplementation'
named entity 'retHE'
named entity 'pediatric gastroenterologist'
named entity 'general surgeons'
named entity 'hemoglobin'
named entity 'respiratory therapists'
named entity '20%'
named entity 'hemoglobin'
named entity 'normal range'
named entity 'normal range'
named entity 'iron supplementation'
named entity 'NICU'
named entity 'inflammatory conditions'
named entity 'care providers'
named entity 'retHE'
named entity 'reticulocyte'
named entity 'c-chart'
named entity '2.0'
named entity 'retHE'
named entity 'retHE'
named entity 'reticulocyte'
named entity 'enteral'
named entity 'Sysmex'
named entity 'retHE'
named entity 'retHE'
named entity 'reticulocyte'
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