Publications by authors named "B R Hadfield"
Rapid cycle deliberate practice improves resident performance during ELBW resuscitation.
J Neonatal Perinatal Med
March 2024
Background: Neonatal Resuscitation is a required competency for pediatric and family medicine residency programs. Simulation-based training can be used to supplement clinical experience. Rapid Cycle Deliberate Practice (RCDP) has been validated as an effective education model and is gaining favor over traditional simulation models.
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- A quality improvement project aimed to reduce unnecessary blood tests and antibiotics for infants exposed to chorioamnionitis by using the Kaiser Sepsis Calculator (KSC) at a Texas health facility.
- After implementing the KSC, testing rates for complete blood counts (CBC) decreased significantly from 96% to 27%, and blood cultures (BCx) from 98% to 37%.
- The program successfully lowered antibiotic use from 25% to 16%, without missing any cases of early onset sepsis, demonstrating the effectiveness of a nurse-led approach to improve care for these infants.
Purpose Of Review: Neonatal bloodstream infections (BSI) are a major contributor to morbidity and mortality within neonatal intensive care units. BSI, including central line-associated BSI, have decreased over the past 15 years but remain common in extremely preterm infants. The purpose of this review is to highlight recent advances in the causes, diagnosis, management, and prevention of neonatal BSI.
View Article and Find Full Text PDFRetinopathy of prematurity (ROP) is one of the leading yet preventable causes of childhood blindness worldwide. The purpose of this review is to provide a practical template for observational and treatment methods in order to reduce the overall incidence of any ROP and to improve both short-term and long-term outcomes once Type 1 ROP (treatable ROP) develops.
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