AAP: Make It Happen NOW: Barriers and Inequities in Eat, Sleep, Console Implementation for Neonatal Opioid Withdrawal Syndrome 

Article Link ABSTRACT Let us imagine a medical problem for which there is a new, effective treatment. This treatment reduces length of hospitalization, decreases medication use, and lowers health care…

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AAP: Tackling Antibiotic Stewardship Challenges in the Neonatal Intensive Care Unit Through Rigorous Quality Improvement

Article Link ABSTRACT Antibiotic stewardship in the neonatal intensive care unit (NICU) has drawn much attention over the last decade following reports of antibiotic overuse and unexplained prescribing variation1,2 and reports…

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AAP: Reduction of Overall Antibiotic Utilization Rate in a Level IV Neonatal Intensive Care Unit

Article Link OBJECTIVE Antibiotics are the most frequently prescribed pharmacologic agents in the neonatal intensive care unit (NICU). Antibiotic treatment for suspected or culture-negative sepsis surpasses that for culture-proven infection….

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AAP: Improving Quality of Care for Neonatal Hyperbilirubinemia Admissions After Birth Hospitalization 

Article Link BACKGROUND AND OBJECTIVES Infants with neonatal hyperbilirubinemia (NH) often require admission after their birth hospitalization for treatment with phototherapy. Our aim was to align local practice with updated…

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AAP: Newborn Screening for Critical Congenital Heart Disease: A New Algorithm and Other Updated Recommendations: Clinical Report

Article Link Critical congenital heart disease (CCHD) screening was added to the US Recommended Uniform Screening Panel in 2011 and adopted by all US states and territories by 2018. In…

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AAP: Fetal, Infant, and Child Death Review: A Public Health Approach to Reducing Mortality and Morbidity

https://publications.aap.org/pediatrics/article/154/Supplement%203/e2024067043B/199733/Fetal-Infant-and-Child-Death-Review-A-Public?nbd=39656959124&nbd_source=campaigner?autologincheck=redirected Fetal, infant, and child death reviews are a longstanding public health effort to understand the circumstances of individual deaths and use individual and aggregate findings to prevent future fatalities…

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AAP: Developmental Milestones for Children With Down Syndrome

https://publications.aap.org/pediatrics/article/154/4/e2023065402/199353/Developmental-Milestones-for-Children-With-Down OBJECTIVES The American Academy of Pediatrics recommends that children and adolescents with Down syndrome receive anticipatory guidance regarding development and behavior. However, few tools provide specific guidance on developmental…

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AAP: Improving Admission Temperature in Infants ≥34 Weeks’ Gestation: A Quality Improvement Initiative

https://publications.aap.org/hospitalpediatrics/article-abstract/14/11/890/199720/Improving-Admission-Temperature-in-Infants-34 BACKGROUND NICU admission for hypothermia is a problem worldwide, with associated morbidity, mortality, and financial costs. Many interventions have been studied for smaller infants, but there has been little…

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AAP: Mothers Falling Asleep During Infant Feeding

https://publications.aap.org/pediatrics/article-abstract/doi/10.1542/peds.2024-066072/199817/Mothers-Falling-Asleep-During-Infant-Feeding?autologincheck=redirected BACKGROUND AND OBJECTIVES: Falling asleep while feeding (FAF) infants is common. Our primary objectives were to examine (1) maternally reported prevalence of FAF and if planned; (2) association between…

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AAP: Quality Improvement Interventions to Prevent Intraventricular Hemorrhage: A Systematic Review

https://publications.aap.org/pediatrics/article-abstract/154/2/e2023064431/197682/Quality-Improvement-Interventions-to-Prevent OBJECTIVES Quality improvement may reduce the incidence and severity of intraventricular hemorrhage in preterm infants. We evaluated quality improvement interventions (QIIs) that sought to prevent or reduce the severity…

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AAP: Phototherapy to Prevent Severe Neonatal Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation: Technical Report

https://publications.aap.org/pediatrics/article/154/3/e2024068026/199038/Phototherapy-to-Prevent-Severe-Neonatal?autologincheck=redirected OBJECTIVE To summarize the principles and application of phototherapy consistent with the current 2022 American Academy of Pediatrics “Clinical Practice Guideline Revision for the Management of Hyperbilirubinemia in the…

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AAP: Neonatal Opioid Withdrawal Syndrome Treatment Guidelines and Birth Hospital Utilization

Neonatal Opioid Withdrawal Syndrome Treatment Guidelines and Birth Hospital Utilization BACKGROUND AND OBJECTIVES In November 2020, the American Academy of Pediatrics published guidelines for management of neonatal opioid withdrawal syndrome…

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AAP: A Quality Improvement Initiative to Increase Skin-to-Skin Care Duration in Preterm Neonates

A Quality Improvement Initiative to Increase Skin-to-Skin Care Duration in Preterm Neonates BACKGROUND Skin-to-skin (STS) care effectively improves neonatal outcomes, particularly for preterm neonates. However, utilization of STS remains suboptimal…

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