Introduction of triggers for palliative care consultation improves utilization and satisfaction within a level four NICU.
Publication/Presentation Date
5-1-2018
Abstract
OBJECTIVE: We sought to explore the beliefs regarding palliative care team utilization, as well as increase consultation and awareness of the palliative care team's role in the NICU.
STUDY DESIGN: The study design in this Level 4 NICU included observational time series with multiple planned sequential interventions. Medical chart review was conducted to determine eligibility, and statistical process control charts were used to show performance over time.
RESULTS: Prior to implementation of the triggers, 26% received consultation, which increased to 46% after implementation. There was an increase in level of understanding, knowledge of team's role, and improved utilization. The time until initial consultation decreased from ~1.5 months to 1 week.
CONCLUSIONS: We observed a 20% increase in consultations. Key interventions included continual education, reminders, and clear postage of the trigger list. Written guidelines increase awareness of a palliative care team's role within a NICU, and provider satisfaction.
Volume
38
Issue
5
First Page
574
Last Page
579
ISSN
1476-5543
Published In/Presented At
Nguyen, L. T., Cooperberg, D. B., & Spear, M. L. (2018). Introduction of triggers for palliative care consultation improves utilization and satisfaction within a level four NICU. Journal of perinatology : official journal of the California Perinatal Association, 38(5), 574–579. https://doi.org/10.1038/s41372-018-0067-1
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
29740184
Department(s)
Department of Pediatrics
Document Type
Article