A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics
Background: Neonates admitted to the neonatal intensive care unit (NICU) are at risk of neuromotor and behavioral impairments, and therapy services can optimize their neurodevelopment. Physiotherapy (PT) and Occupational therapy (OT) services are available in the NICU of Women's Wellness and R...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | CHRISMED Journal of Health and Research |
| Subjects: | |
| Online Access: | http://www.cjhr.org/article.asp?issn=2348-3334;year=2023;volume=10;issue=1;spage=86;epage=98;aulast=Jindal |
| _version_ | 1797775284726923264 |
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| author | Pranay Jindal Irfana Ajab Shah Jisha Elizabeth Mathew Shihab Kannappillil Ma Lorena Igna Sibayan Parvathy Ragesh Sashtha Girish Irian Jade Cabanillas Ana Princess Villa Matheus Franciscus Petrus Van Rens Mohamed Rami Alturk Mohamad Adnan Mahmah Mai AlQuabaisi Noora Rashid AlMudehka Alaa Al Sheikh Hussein |
| author_facet | Pranay Jindal Irfana Ajab Shah Jisha Elizabeth Mathew Shihab Kannappillil Ma Lorena Igna Sibayan Parvathy Ragesh Sashtha Girish Irian Jade Cabanillas Ana Princess Villa Matheus Franciscus Petrus Van Rens Mohamed Rami Alturk Mohamad Adnan Mahmah Mai AlQuabaisi Noora Rashid AlMudehka Alaa Al Sheikh Hussein |
| author_sort | Pranay Jindal |
| collection | DOAJ |
| description | Background: Neonates admitted to the neonatal intensive care unit (NICU) are at risk of neuromotor and behavioral impairments, and therapy services can optimize their neurodevelopment. Physiotherapy (PT) and Occupational therapy (OT) services are available in the NICU of Women's Wellness and Research Center, and as per the guidelines, physicians should refer the neonates for appropriate services. Baseline analysis of 1-month data revealed that 25%, 36%, 62%, and 10% of eligible neonates were not referred to (1) inpatient OT, (2) inpatient PT, (3) baby therapy, and (4) neonatal neurodevelopmental clinic, respectively. The study's objective is to increase the number of babies being referred, by reducing the number of eligible neonates not being referred to 4 available therapy services to 50% of the baseline data after 1 month of implementation. Methods: A Plan-Do-Study-Act cycle guided the interventions. The 1st phase identified stakeholders' challenges for not referring the babies to appropriate services. Based on their feedback, the referral criteria were revised. The 2nd phase involved implementing the revised criteria. Steps included (a) stakeholders' education on the revised criteria and making it available all the time, (b) daily triage and huddle to inform stakeholders of the needed referrals, and (c) establishing communication pathways. Results: Exceeding the targets, all eligible and 75% of the eligible neonates for neonatal neurodevelopmental and baby therapy clinics, respectively, were referred. For inpatient OT and PT services, 22% (targeted 12.5%) and 20% (targeted 18%) of the eligible neonates were missed. Conclusion: Within 1 month, we decreased the number of nonreferrals to all 4 therapy services. Inpatient PT and OT referrals need more focus. |
| first_indexed | 2024-03-12T22:33:28Z |
| format | Article |
| id | doaj.art-5e603484926c4c34a10109b3b9824ee5 |
| institution | Directory Open Access Journal |
| issn | 2348-3334 2348-506X |
| language | English |
| last_indexed | 2024-03-12T22:33:28Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | CHRISMED Journal of Health and Research |
| spelling | doaj.art-5e603484926c4c34a10109b3b9824ee52023-07-21T14:33:37ZengWolters Kluwer Medknow PublicationsCHRISMED Journal of Health and Research2348-33342348-506X2023-01-01101869810.4103/cjhr.cjhr_87_22A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinicsPranay JindalIrfana Ajab ShahJisha Elizabeth MathewShihab KannappillilMa Lorena Igna SibayanParvathy RageshSashtha GirishIrian Jade CabanillasAna Princess VillaMatheus Franciscus Petrus Van RensMohamed Rami AlturkMohamad Adnan MahmahMai AlQuabaisiNoora Rashid AlMudehkaAlaa Al Sheikh HusseinBackground: Neonates admitted to the neonatal intensive care unit (NICU) are at risk of neuromotor and behavioral impairments, and therapy services can optimize their neurodevelopment. Physiotherapy (PT) and Occupational therapy (OT) services are available in the NICU of Women's Wellness and Research Center, and as per the guidelines, physicians should refer the neonates for appropriate services. Baseline analysis of 1-month data revealed that 25%, 36%, 62%, and 10% of eligible neonates were not referred to (1) inpatient OT, (2) inpatient PT, (3) baby therapy, and (4) neonatal neurodevelopmental clinic, respectively. The study's objective is to increase the number of babies being referred, by reducing the number of eligible neonates not being referred to 4 available therapy services to 50% of the baseline data after 1 month of implementation. Methods: A Plan-Do-Study-Act cycle guided the interventions. The 1st phase identified stakeholders' challenges for not referring the babies to appropriate services. Based on their feedback, the referral criteria were revised. The 2nd phase involved implementing the revised criteria. Steps included (a) stakeholders' education on the revised criteria and making it available all the time, (b) daily triage and huddle to inform stakeholders of the needed referrals, and (c) establishing communication pathways. Results: Exceeding the targets, all eligible and 75% of the eligible neonates for neonatal neurodevelopmental and baby therapy clinics, respectively, were referred. For inpatient OT and PT services, 22% (targeted 12.5%) and 20% (targeted 18%) of the eligible neonates were missed. Conclusion: Within 1 month, we decreased the number of nonreferrals to all 4 therapy services. Inpatient PT and OT referrals need more focus.http://www.cjhr.org/article.asp?issn=2348-3334;year=2023;volume=10;issue=1;spage=86;epage=98;aulast=Jindalneonates neonatal therapyneurodevelopmental outcomesneonatal intensive care unitoccupational therapyphysiotherapyquality improvementservice utilization |
| spellingShingle | Pranay Jindal Irfana Ajab Shah Jisha Elizabeth Mathew Shihab Kannappillil Ma Lorena Igna Sibayan Parvathy Ragesh Sashtha Girish Irian Jade Cabanillas Ana Princess Villa Matheus Franciscus Petrus Van Rens Mohamed Rami Alturk Mohamad Adnan Mahmah Mai AlQuabaisi Noora Rashid AlMudehka Alaa Al Sheikh Hussein A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics CHRISMED Journal of Health and Research neonates neonatal therapy neurodevelopmental outcomes neonatal intensive care unit occupational therapy physiotherapy quality improvement service utilization |
| title | A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics |
| title_full | A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics |
| title_fullStr | A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics |
| title_full_unstemmed | A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics |
| title_short | A quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow-up clinics |
| title_sort | quality improvement study to improve the utilization of occupational therapy and physiotherapy services in a level 4 neonatal intensive care unit and neurodevelopmental follow up clinics |
| topic | neonates neonatal therapy neurodevelopmental outcomes neonatal intensive care unit occupational therapy physiotherapy quality improvement service utilization |
| url | http://www.cjhr.org/article.asp?issn=2348-3334;year=2023;volume=10;issue=1;spage=86;epage=98;aulast=Jindal |
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