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Neonatal transport in California: findings from a qualitative investigation.

CPQCC Publication
TitleNeonatal transport in California: findings from a qualitative investigation.
Publication TypeJournal Article
Year of Publication2020
AuthorsAkula VPriya, Hedli LC, Van Meurs K, Gould JB, Peiyi K, Lee HC
JournalJ Perinatol
Date Published2020 03
KeywordsCalifornia, Focus Groups, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Interviews as Topic, Patient Care Team, Qualitative Research, Quality Improvement, Tertiary Care Centers, Transportation of Patients, Workforce

OBJECTIVE: To identify characteristics of neonatal transport in California and which factors influence team performance.

STUDY DESIGN: We led focus group discussions with 19 transport teams operating in California, interviewing 158 neonatal transport team members. Transcripts were analyzed using a thematic analysis approach.

RESULT: The composition of transport teams varied widely. There was strong thematic resonance to suggest that the nature of emergent neonatal transports is unpredictable and poses several significant challenges including staffing, ambulance availability, and administrative support. Teams reported dealing with this unpredictability by engaging in teamwork, gathering experience with staff at referral hospitals, planning for a wide variety of circumstances, specialized training, debriefing after events, and implementing quality improvement strategies.

CONCLUSION: Our findings suggest potential opportunities for improvement in neonatal transport. Future research can explore the cost and benefits of strategies such as dedicated transport services, transfer centers, and telemedicine.

Alternate JournalJ Perinatol
PubMed ID31270432
PubMed Central IDPMC7223647
Grant ListUL1 TR001085 / TR / NCATS NIH HHS / United States