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How We Got Smart: Improving Interdisciplinary Communication When Summoning Neonatology to High-Risk Deliveries

Sundgren, Nathan C., MD, PhD; Gokulakrishnan, Ganga, MD; Kelly, Frances C., PhD, RN; Kainer, Kellie S., MSN, RNC; Hagan, Joseph L., ScD, MSPH; Witt, Melissa A., BSN, RN; D'Ambrosio, Deborah, MSN, RN; Graf, Jeanine M., MD; Suresh, Gautham K., MD

The Journal of Perinatal & Neonatal Nursing: July/September 2018 - Volume 32 - Issue 3 - p 250–256
doi: 10.1097/JPN.0000000000000333
Feature Articles: Continuing Education

Communication around high-risk deliveries is critical to ensure patient safety. A hospital-wide system change in paging the neonatal resuscitation team (NRT) to deliveries was implemented but disliked. An interdisciplinary team seized the opportunity to explore opportunities for an enhanced system to improve communication. The team designed a new screen to our smart panel (responder 5 staff terminal, Rauland, Mount Prospect, Illinois) to page NRT with the location and primary indication for which they were needed at delivery. Surveys assessed user satisfaction among labor and delivery and NRT. Before and after implementation of the smart panel, we assessed number of NRT pages, frequency of NRT being paged prior to the delivery, the time between page and delivery, and use of the code button to summon help. Labor and delivery and NRT user satisfaction greatly improved with the smart panel. Frequency of NRT being paged before birth increased with fewer code pages being used to summon NRT to deliveries. A touch screen–based notification system can enhance timely notification to summon NRT to deliveries while concurrently enhancing satisfaction of providers in both the delivery room and on the NRT.

Departments of Pediatrics, Section of Neonatology (Drs Sundgren, Gokulakrishnan, Hagan, and Suresh and Ms Kainer) and Critical Care Medicine (Ms D'Ambrosio and Dr Graf), Baylor College of Medicine, Houston, Texas; Departments of Quality and Safety (Dr Kelly) and Information Services (Ms Witt), Texas Children's Hospital, Houston.

Corresponding Author: Nathan C. Sundgren, MD, PhD, Department of Pediatrics, Section of Neonatology, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin, WT6104, Houston, TX 77030 (

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Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: October 26, 2017; accepted for publication: January 21, 2018.

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