The Impact of Just-in-time Information on Neonatal Intensive Care Unit (NICU) Discharges
We, the investigators, will provide "Just-in-Time" information, physician educational material, to primary care pediatricians of Neonatal Intensive Care Unit (NICU) graduates at the time of NICU discharge. We will follow the rate of adverse events (deaths, re-hospitalizations, emergency room visits, and missed appointments) for 6 months after NICU discharge. We will assess levels of physician comfort in caring for NICU specific diseases, as well as physician satisfaction with the discharge process. We hypothesize that the provision of "Just-in-Time" information will decrease the rate of adverse events, and make physicians more comfortable in caring for complicated NICU graduates, and more satisfied with the discharge process.
|Study Design:||Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||The Impact of "Just-in-time" Information on NICU Discharges|
- Adverse events [ Time Frame: 6 months from hospital discharge ] [ Designated as safety issue: Yes ]The rates of death, rehospitalization, emergency room visits, and missed appointments will be calculated for infants in the first 6 months after discharge from the NICU.
- Physician comfort levels [ Time Frame: 1 year ] [ Designated as safety issue: No ]Physicians will complete pre- and post- intervention surveys that consist of 5-point Likert scales that measure comfort levels with various disorders specific to former premature infants.
|Study Start Date:||March 2010|
|Study Completion Date:||June 2011|
|Primary Completion Date:||June 2011 (Final data collection date for primary outcome measure)|
Experimental: Just-in-Time intervention
The infants and physicians in the experimental group will receive the "Just-in-Time" intervention sheets at the time of discharge.
Behavioral: Just-in-Time information
Infants and physicians assigned to the intervention group will receive Just-in-Time information at the time of NICU discharge, by email and facsimile, and the parents will receive a copy to bring to their first clinic appointment.
No Intervention: Routine discharge care
The infants and physicians in the routine discharge care arm will receive the same information and details as is per normal routine in the nursery.
The purpose of this protocol is to evaluate the impact of providing "Just-in-Time" information, or physician educational material at the time of discharge, to primary care pediatricians caring for Neonatal Intensive Care Unit (NICU) graduates. The material provided will be tailored to the needs of each infant. The educational material will be sent to the physicians via email and facsimile on the day of discharge, and a hard copy will be sent with the parents to bring to their first clinic appointment. Outcomes, including emergency room visits, hospital readmissions, deaths, missed appointments, and improvements in care in the areas of intervention will be assessed. Levels of physician comfort in caring for various disorders specific to NICU graduates will be assessed, and satisfaction with the discharge process will also be evaluated pre- and post- intervention.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01091688
|United States, Texas|
|Newborn Center, Texas Children's Hospital|
|Houston, Texas, United States, 77030|
|Principal Investigator:||Virginia A Moyer, MD, MPH||Baylor College of Medicine|