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Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants.

Publication ,  Journal Article
Profit, J; Sharek, PJ; Kan, P; Rigdon, J; Desai, M; Nisbet, CC; Tawfik, DS; Thomas, EJ; Lee, HC; Sexton, JB
Published in: Am J Perinatol
August 2017

Background and Objective Teamwork may affect clinical care in the neonatal intensive care unit (NICU) setting. The objective of this study was to assess teamwork climate across NICUs and to test scale-level and item-level associations with health care-associated infection (HAI) rates in very low-birth-weight (VLBW) infants. Methods Cross-sectional study of the association between HAI rates, defined as any bacterial or fungal infection during the birth hospitalization, among 6,663 VLBW infants cared for in 44 NICUs between 2010 and 2012. NICU HAI rates were correlated with teamwork climate ratings obtained in 2011 from 2,073 of 3,294 eligible NICU health professionals (response rate 63%). The relation between HAI rates and NICU teamwork climate was assessed using logistic regression models including NICU as a random effect. Results Across NICUs, 36 to 100% (mean 66%) of respondents reported good teamwork. HAI rates were significantly and independently associated with teamwork climate (odds ratio, 0.82; 95% confidence interval, 0.73-0.92, p = 0.005), such that the odds of an infant contracting a HAI decreased by 18% with each 10% rise in NICU respondents reporting good teamwork. Conclusion Improving teamwork may be an important element in infection control efforts.

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Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

August 2017

Volume

34

Issue

10

Start / End Page

1032 / 1040

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Patient Safety
  • Patient Care Team
  • Organizational Culture
  • Obstetrics & Reproductive Medicine
  • Male
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Incidence
 

Citation

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ICMJE
MLA
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Profit, J., Sharek, P. J., Kan, P., Rigdon, J., Desai, M., Nisbet, C. C., … Sexton, J. B. (2017). Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants. Am J Perinatol, 34(10), 1032–1040. https://doi.org/10.1055/s-0037-1601563
Profit, Jochen, Paul J. Sharek, Peiyi Kan, Joseph Rigdon, Manisha Desai, Courtney C. Nisbet, Daniel S. Tawfik, Eric J. Thomas, Henry C. Lee, and J Bryan Sexton. “Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants.Am J Perinatol 34, no. 10 (August 2017): 1032–40. https://doi.org/10.1055/s-0037-1601563.
Profit J, Sharek PJ, Kan P, Rigdon J, Desai M, Nisbet CC, et al. Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants. Am J Perinatol. 2017 Aug;34(10):1032–40.
Profit, Jochen, et al. “Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants.Am J Perinatol, vol. 34, no. 10, Aug. 2017, pp. 1032–40. Pubmed, doi:10.1055/s-0037-1601563.
Profit J, Sharek PJ, Kan P, Rigdon J, Desai M, Nisbet CC, Tawfik DS, Thomas EJ, Lee HC, Sexton JB. Teamwork in the NICU Setting and Its Association with Health Care-Associated Infections in Very Low-Birth-Weight Infants. Am J Perinatol. 2017 Aug;34(10):1032–1040.
Journal cover image

Published In

Am J Perinatol

DOI

EISSN

1098-8785

Publication Date

August 2017

Volume

34

Issue

10

Start / End Page

1032 / 1040

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Patient Safety
  • Patient Care Team
  • Organizational Culture
  • Obstetrics & Reproductive Medicine
  • Male
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Incidence