Documents

General Information on Antibiotic Stewardship Programs

Core Elements of Hospital Antibiotic Stewardship Programs - Provides a thorough summary of core elements of a hospital based antibiotic stewardship program.  Also outlines key support staff, policies and interventions to improve antibiotic use,  suggestions for tracking and reporting antibiotic use, and includes a checklist for the core elements of a stewardship program.

 

Antibiotic Use in NICUs and Newborn Nurseries

Neonatal Intensive Care Unit Antibiotic Use - A review of antibiotic practice variation in 132 NICUs in California to include an examination of relationships with proven infection and other factors unambiguously connected with antibiotic exposure.

Antibiotic Stewardship:  Reassessment of Guidelines for Management of Neonatal Sepsis - A thorough review and comparison of the CDC and COFN guidelines to evaluate and manage neonatal sepsis.

Reappraisal of Guidelines of Management of Neonates with Suspected Early Onset Sepsis - A commentary on the case for moving beyond current recommendations for evaluation and treatment of term and late preterm infants for EOS.  The merits of the CDC and AAP guidelines for infants showing clinical signs of sepsis and for infants born under the maternal diagnosis of chorioamnionitis are debated.  The commentary concludes with eight suggested principles to guide innovation in managing suspected EOS.

 

Estimating the Probability of EOS

Estimating the Probability of Neonatal Early Onset Infection on the Basis of Maternal Risk Factors - Introducing of a predictive model for sepsis based on information available in the immediate perinatal period.  The model establishes a prior probability for newborn sepsis, which could be combined with neonatal physical examination and laboratory values to establish a posterior probability to guide treatment decisions.

The Conundrum of Early Onset Sepsis - A brief commentary on COFN recommendations and the introduction of the Kaiser sepsis calculator.  The commentary ends with six conclusions and three practice suggestions for managing infants with early onset sepsis.

Stratification of Risk of Early Onset Sepsis in Newborns Greater than or Equal to 34 Weeks Gestation - This article presents the risk stratification strategy that belies the Kaiser sepsis calculator.

 

Adverse Consequences of Antibiotic Use in Newborns

Adverse Consequences of Neonatal Antibiotic Exposure - A review and opinion paper covering current data regarding the rationale for empirical use of antibiotics, variations in prescribing practices, emerging resistance, and how antibiotics affect the microbiome of the neonate.  The review ends with a discussion of practice modifications and current stewardship efforts.

WHAT HAVE WE AGREED TO DO?

We need to collectively:

  • determine the scope of this project
  • create a charter for all teams to utilize
  • decide on goals for the project
  • discuss what data we will be collecting
  • discuss what reports we will be using
  • draft an action plan for all teams to use to forge ahead across the state
  • meet each other face to face to and talk about the amazing work we are doing!


WANT TO GET INVOLVED?

Join the Expert Team and lend your voice to the process- register here

THINGS TO KNOW

There are conference calls scheduled to assist us all in achieving the bullet points above. Be sure to add them to your calendars!

Tuesday, April 12 at 1200 - COMPLETED


Tuesday, May 3 at 1200 - COMPLETED

  • Discuss scope, goals and outcomes of project. Begin creation of the charter


Tuesday, May 24 at 1200

  • Approve the charter and discuss what reports will be generated


Tuesday, June 14 at 1200

  • Approve reports to be utilized and discuss data to be collected

PQCNC ASNS Expert Team Webinar 20160614


Tuesday, July 12 at 1200

  • Approve data collection and discuss pre-work


Thursday, August 4 - 9:30 - 3:30

  • Face to face meeting at the McKimmon Center - details TBA!

For those of you requiring IRB approval click here.

Joining the Initiative

Please submit a PQIT Roster for your team

 

 

Joining the Initiative Pre-work Data:

Diagnosis Data Collection Instructions

Diagnosis Data Collection Dictionary

Diagnosis Data Collection Tool

PDSA Worksheet

 

Initiative Action Plans/Work Plans All Phases

Phase I Workplan

CMOP Action Plan

 

Initiative Data Phase II: The official start date for Phase II initiative data is April 01 2016.  Any patient admitted on April 1st is eligible for the CMOP database. 

CMOP Phase II Data Dictionary

CMOP Phase II Data Collection Tool

Accessing Reports

Small Tests of Change

 

Initiative Data Phase I: The official start date for Phase I initiative data is March 01 2015.  Any patient admitted on March 1st is eligible for the CMOP database.  

CMOP Data Dictionary

CMOP Data Collection Tool

Accessing Reports

PDSA Worksheet

 

Pre-work Action Plan - required pre-work for participation in CMOP Phase I


Please complete the Phase I Snapshot for your facility

View Snapshot questions

Complete snapshot questionnaire

 

Data Submission Due Dates: Please have all initiative data submitted by the 15th of every month for the previous month i.e. all January data should be submitted by February 15th. 

Attention Data Collectors:  Instructions on how to obtain access to Delphi to submit data.

Roster Changes: Please make sure to send me any changes in your team roster.  We would like to be able to provide all team members with the latest information about the initiative and we can only do that with your help.

Webinars: Monthly webinars will be held on the 2nd Wednesday of every month at 12:00pm beginning Wednesday March 11th.  Please go ahead and reserve these dates on your calendars.  Your team will need to schedule at least monthly meetings to review data, make plans for PDSA cycles, and plan for next steps.  Please set up times to meet with your Executive Champions to update them on your progress and to ask for their help to meet your goals. PQCNC would suggest you meet with them every other month but no less than every quarter.

Webinars:

CMOP Case Study: Multidisciplinary Approach 

Creating Your Team Report



 

 

Creating the Ideal Care Experience - Sharing the good work / Keeping the good work going



Creating the Ideal Care Experience - Monitoring Your Projects Progress 

 

 

 

Creating the Ideal Care Experience - Implementing Your Project 

YOUR RESOURCE FOR COMPREHENSIVE NICU FAMILY SUPPORT

In January 2014, the National Perinatal Association convened a broad group of nearly 50 thought leaders and stakeholders. We came together with the common purpose of improving the level of psychosocial support provided to NICU parents – as well as improving training and support for those who provide care in NICUs. The resulting recommendations were published in December 2015. Learn about our process and the recommendations we developed here

FOR PARENTS

Use this website to understand and explore your feelings as you adjust to your new role as a NICU parent. Find resources here to help you become more involved in your baby’s care and more aware of what you can do to strengthen your bond.

FOR PROFESSIONALS

If you work in a NICU—whether as a neonatologist, nurse practitioner, bedside nurse, neonatal therapist, or other staff—you have experienced firsthand how stressful it can be to care for tiny, fragile babies whose lives may hang in the balance.  Those babies’ parents are experiencing stress as well, and need your support.  Search our resources to help you improve your care and support of parents and your own NICU staff here.

More information 

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