Standardisation of neonatal clinical practice
The International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH‐21st) is a large‐scale, population‐based, multicentre project involving health institutions from eight geographically diverse countries, which aims to assess fetal, newborn and preterm growth under optimal condit...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2013-09, Vol.120 (s2), p.56-63 |
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| creator | Bhutta, ZA Giuliani, F Haroon, A Knight, HE Albernaz, E Batra, M Bhat, B Bertino, E McCormick, K Ochieng, R Rajan, V Ruyan, P Cheikh Ismail, L Paul, V |
| description | The International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH‐21st) is a large‐scale, population‐based, multicentre project involving health institutions from eight geographically diverse countries, which aims to assess fetal, newborn and preterm growth under optimal conditions. Given the multicentre nature of the project and the expected number of preterm births, it is vital that all centres follow the same standardised clinical care protocols to assess and manage preterm infants, so as to ensure maximum validity of the resulting standards as indicators of growth and nutrition with minimal confounding. Moreover, it is well known that evidence‐based clinical practice guidelines can reduce the delivery of inappropriate care and support the introduction of new knowledge into clinical practice. The INTERGROWTH‐21st Neonatal Group produced an operations manual, which reflects the consensus reached by members of the group regarding standardised definitions of neonatal morbidities and the minimum standards of care to be provided by all centres taking part in the project. The operational definitions and summary management protocols were developed by consensus through a Delphi process based on systematic reviews of relevant guidelines and management protocols by authoritative bodies. This paper describes the process of developing the Basic Neonatal Care Manual, as well as the morbidity definitions and standardised neonatal care protocols applied across all the INTERGROWTH‐21st participating centres. Finally, thoughts about implementation strategies are presented. |
| doi_str_mv | 10.1111/1471-0528.12312 |
| format | Article |
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Given the multicentre nature of the project and the expected number of preterm births, it is vital that all centres follow the same standardised clinical care protocols to assess and manage preterm infants, so as to ensure maximum validity of the resulting standards as indicators of growth and nutrition with minimal confounding. Moreover, it is well known that evidence‐based clinical practice guidelines can reduce the delivery of inappropriate care and support the introduction of new knowledge into clinical practice. The INTERGROWTH‐21st Neonatal Group produced an operations manual, which reflects the consensus reached by members of the group regarding standardised definitions of neonatal morbidities and the minimum standards of care to be provided by all centres taking part in the project. The operational definitions and summary management protocols were developed by consensus through a Delphi process based on systematic reviews of relevant guidelines and management protocols by authoritative bodies. This paper describes the process of developing the Basic Neonatal Care Manual, as well as the morbidity definitions and standardised neonatal care protocols applied across all the INTERGROWTH‐21st participating centres. Finally, thoughts about implementation strategies are presented.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.12312</identifier><identifier>PMID: 23841879</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Child Development ; Clinical medicine ; Clinical Protocols ; Delphi Technique ; Female ; Fetal Development ; Follow-Up Studies ; Growth Charts ; Humans ; Infant Care - methods ; Infant Care - standards ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - diagnosis ; Infant, Premature, Diseases - therapy ; Manuals as Topic ; Multicenter Studies as Topic - methods ; Multicenter Studies as Topic - standards ; Neonatal care ; Neonatal care protocols ; neonatal guidelines ; neonatal morbidity definitions ; Obstetrics ; Perinatal Care - methods ; Perinatal Care - standards ; Practice Guidelines as Topic - standards ; Pregnancy ; Premature birth ; Premature Birth - prevention & control ; preterm growth ; preterm infants ; Research Design - standards ; standards of care</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2013-09, Vol.120 (s2), p.56-63</ispartof><rights>2013 Royal College of Obstetricians and Gynaecologists</rights><rights>2013 Royal College of Obstetricians and Gynaecologists.</rights><rights>BJOG © 2013 RCOG</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4452-cab9459faca825f57ce82895fb06cc7051e852da18677cfe8cc45c5c846cf3d93</citedby><cites>FETCH-LOGICAL-c4452-cab9459faca825f57ce82895fb06cc7051e852da18677cfe8cc45c5c846cf3d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1471-0528.12312$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1471-0528.12312$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23841879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bhutta, ZA</creatorcontrib><creatorcontrib>Giuliani, F</creatorcontrib><creatorcontrib>Haroon, A</creatorcontrib><creatorcontrib>Knight, HE</creatorcontrib><creatorcontrib>Albernaz, E</creatorcontrib><creatorcontrib>Batra, M</creatorcontrib><creatorcontrib>Bhat, B</creatorcontrib><creatorcontrib>Bertino, E</creatorcontrib><creatorcontrib>McCormick, K</creatorcontrib><creatorcontrib>Ochieng, R</creatorcontrib><creatorcontrib>Rajan, V</creatorcontrib><creatorcontrib>Ruyan, P</creatorcontrib><creatorcontrib>Cheikh Ismail, L</creatorcontrib><creatorcontrib>Paul, V</creatorcontrib><creatorcontrib>International Fetal and Newborn Growth Consortium for the 21st Century</creatorcontrib><creatorcontrib>for the International Fetal and Newborn Growth Consortium for the 21 Century (INTERGROWTH‐21)</creatorcontrib><title>Standardisation of neonatal clinical practice</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>The International Fetal and Newborn Growth Consortium for the 21st Century (INTERGROWTH‐21st) is a large‐scale, population‐based, multicentre project involving health institutions from eight geographically diverse countries, which aims to assess fetal, newborn and preterm growth under optimal conditions. 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The operational definitions and summary management protocols were developed by consensus through a Delphi process based on systematic reviews of relevant guidelines and management protocols by authoritative bodies. This paper describes the process of developing the Basic Neonatal Care Manual, as well as the morbidity definitions and standardised neonatal care protocols applied across all the INTERGROWTH‐21st participating centres. 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| subjects | Child Development Clinical medicine Clinical Protocols Delphi Technique Female Fetal Development Follow-Up Studies Growth Charts Humans Infant Care - methods Infant Care - standards Infant, Low Birth Weight Infant, Newborn Infant, Premature Infant, Premature, Diseases - diagnosis Infant, Premature, Diseases - therapy Manuals as Topic Multicenter Studies as Topic - methods Multicenter Studies as Topic - standards Neonatal care Neonatal care protocols neonatal guidelines neonatal morbidity definitions Obstetrics Perinatal Care - methods Perinatal Care - standards Practice Guidelines as Topic - standards Pregnancy Premature birth Premature Birth - prevention & control preterm growth preterm infants Research Design - standards standards of care |
| title | Standardisation of neonatal clinical practice |
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