Innovative Tools and Strategies | Prevention and Clinical Management | Targets and Metrics | Strengthening Quality of Care | Focus: Small and Sick Newborns Room: Roof Terrace Oral Abstracts
May 11, 2023 11:50 - 13:05(Africa/Johannesburg)
20230511T1150 20230511T1305 Africa/Johannesburg New Evidence on Tools and Readiness for Small and Sick Newborn Care

Efficacy of Oral Melatonin in Preventing Necrotizing Enterocolitis among Preterm Infants in a Level III Neonatal Intensive Care Unit in the Philippines: A Double-Blind Randomized Controlled Trial

Currently, there are no established therapeutic options to prevent necrotizing enterocolitis (NEC). It is one of the most devastating problems that can develop in preterm infants. Melatonin has been shown to enhance NEC outcomes and may be used as a preventative therapy. This study determined the efficacy of oral melatonin in preventing NEC among high-risk preterm infants.

Prediluted-Prefilled Color-Labeled Medication Syringes Decrease Time to Administration and Dosing Error in Neonatal Critical Care Units 

The incidence of errors associated with injectable medications is higher than with other formulations. Studies suggest that half of all harmful medication errors (MEs) originate during drug administration. Of those errors, about two-thirds involve injectables, and may result in potentially life-threatening outcomes, particularly for pediatric patients when dosing requires weight-based calculations. Novel medication delivery systems of ready to administer may reduce dosing errors significantly. Our goal was to evaluate novel, prediluted, and prefilled color-labeled medication syringes ready for infusion, compared with conventional medication administration, in pediatric and neonatal critical care units.

Missed Nursing Care and Informal Task Shifting within Kenyan Newborn Units and the Relationship with Nurse Staffing Levels Are Key Quality Concerns 

Hospital ward staffing levels in resource-constrained low-middle-income countries are extreme. Ethnographic evidence suggests nursing tasks are missed with increased informal task s ...

Room: Roof Terrace International Maternal Newborn Health Conference 2023 information@imnhc.org
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Efficacy of Oral Melatonin in Preventing Necrotizing Enterocolitis among Preterm Infants in a Level III Neonatal Intensive Care Unit in the Philippines: A Double-Blind Randomized Controlled Trial

Currently, there are no established therapeutic options to prevent necrotizing enterocolitis (NEC). It is one of the most devastating problems that can develop in preterm infants. Melatonin has been shown to enhance NEC outcomes and may be used as a preventative therapy. This study determined the efficacy of oral melatonin in preventing NEC among high-risk preterm infants.


Prediluted-Prefilled Color-Labeled Medication Syringes Decrease Time to Administration and Dosing Error in Neonatal Critical Care Units 

The incidence of errors associated with injectable medications is higher than with other formulations. Studies suggest that half of all harmful medication errors (MEs) originate during drug administration. Of those errors, about two-thirds involve injectables, and may result in potentially life-threatening outcomes, particularly for pediatric patients when dosing requires weight-based calculations. Novel medication delivery systems of ready to administer may reduce dosing errors significantly. Our goal was to evaluate novel, prediluted, and prefilled color-labeled medication syringes ready for infusion, compared with conventional medication administration, in pediatric and neonatal critical care units.


Missed Nursing Care and Informal Task Shifting within Kenyan Newborn Units and the Relationship with Nurse Staffing Levels Are Key Quality Concerns 

Hospital ward staffing levels in resource-constrained low-middle-income countries are extreme. Ethnographic evidence suggests nursing tasks are missed with increased informal task shifting by nurses to caregivers and unsupervised nursing students to cope with care demands. The extent of informal task shifting and how this changes with nurse staffing levels has not been quantified. This study determines the magnitude of missed nursing care and informal nurse task shifting across eight neonatal units in Kenya and examines the relation with nurse staffing.


Evaluating Service Readiness for Small and Sick Newborns to Inform Tracking of the Every Newborn Action Plan (ENAP) Coverage Target: Baseline Results of a Health Facility Assessment from 65 Facilities in Four African Countries 

Each year, an estimated 30 million vulnerable users of a health system are newborns. Tools for evaluating service readiness are important for assessing the capacity of hospitals to provide quality care. Unfortunately, existing health facility assessment tools do not include key items and interventions specific to small and sick newborn care (SSNC).

Efficacy of Oral Melatonin in Preventing Necrotizing Enterocolitis among Preterm Infants in a Level III Neonatal Intensive Care Unit in the Philippines: A Double-Blind Randomized Controlled Trial
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Small and Sick Newborns (SSNB)
Prevention and Clinical Management
Strengthening Quality of Care
Presenters NAVID ROODAKI
MEDICAL OFFICER IV, Ilocos Training And Regional Medical Center
Co-authors
DG
Daisy Evangeline Garcia
MD, Ilocos Training Regional And MEdical CEnter
MZ
Maria Theresa Concepcion Zubiri
Ilocos Training And Regional Medical Center
Prediluted-Prefilled Color-Labeled Medication Syringes Decrease Time to Administration and Dosing Error in Neonatal Critical Care Units
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Innovative Tools and Strategies
Presenters
GA
Gul Ambreen
Pharmacy Specialist, The Aga Khan University Hospital, Karachi Pakistan
Co-authors
KH
Kashif Hussain
Pharmacy Manager , The Aga Khan University Hospital, Karachi Pakistan
MS
Muhammad Sohail Salat
Associate Professor , The Aga Khan University Hospital, Karachi Pakistan
AS
Ali Shabbir
Assit Prof, The Aga Khan University Hospital, Karachi Pakistan
AM
Adnan Mirza
Assit Prof , The Aga Khan University Hospital, Karachi Pakistan
Missed Nursing Care and Informal Task Shifting within Kenyan Newborn Units and the Relationship with Nurse Staffing Levels Are Key Quality Concerns
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Presenters
Evaluating Service Readiness for Small and Sick Newborns to Inform Tracking of the Every Newborn Action Plan (ENAP) Coverage Target: Baseline Results of a Health Facility Assessment from 65 Facilities in Four African Countries
Single Abstract 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/11 09:50:00 UTC - 2023/05/11 11:05:00 UTC
Small and Sick Newborns (SSNB)
Targets and Metrics
Strengthening Quality of Care
Presenters Rebecca Penzias
Research Assistant NEST360, The London School Of Hygiene & Tropical Medicine (LSHTM)
Co-authors
CB
Christine Bohne
Director Of Quality Improvement Systems, NEST360
Samuel Ngwala
M&E Manager, NEST360 Malawi (Kamuzu University Of Health Sciences)
Evelyn Zimba
Country Director, Malawi NEST Program, Rice University-NEST360
ER
Ekran Rashid
NEST360 Kenya Program Manager, Rice360 Institute For Global Health Technologies
Edith Gicheha
Clinical Training Director, NEST 360
OO
Opeyemi Odedere
Country Director , NEST 360
OD
Olabisi Dosunmu
M&E / Data Manager, APIN
RT
Robert Tillya
Health Research Scientist, Ifakara Health Institute
Josephine Shabani
Statistician, Ifakara Health Institute
David Gathara
Assistant Professor, MARCH Centre, London School Of Hygiene And Tropical Medicine, London, UK And KEMRI-Wellcome Research Programme, Nairobi
James Cross
Research Fellow, The London School Of Hygiene & Tropical Medicine (LSHTM)
EO
Eric Ohuma
Associate Professor, The London School Of Hygiene & Tropical Medicine (LSHTM)
Joy Lawn
Professor , The London School Of Hygiene & Tropical Medicine (LSHTM)
GN
GroupAuthor NEST Alliance
Alliance, NEST360
Research Assistant NEST360
,
The London School of Hygiene & Tropical Medicine (LSHTM)
PhD student
,
University of Oxford
Pharmacy Specialist
,
The Aga Khan University Hospital, Karachi Pakistan
MEDICAL OFFICER IV
,
Ilocos Training and Regional Medical Center
Chief of Health Services
,
Ministry of Health- Malawi
Ms. Eunice Sijenje
Research Assistant
,
The University of Washington
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Efficacy of Oral Melatonin in Preventing Necrot...
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Evaluating Service Readiness for Small and Sick...
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Missed Nursing Care and Informal Task Shifting ...
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Prediluted-Prefilled Color-Labeled Medication S...
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