Neoflix
  • Welcome
    • Welcome
    • Who is this for?
    • Quick-start
      • FAQ's
    • Neoflix
      • Make every clinical encounter a learning opportunity
      • Streamlining neonatal Care: A Success Story
      • How it works
  • LEVEL 1: Fundamentals
    • LEVEL 1: FUNDAMENTALS
    • 1. Preproduction
      • 1.1 Beyond the procedure
      • 1.2 Use Cases
      • 1.3 History of videorecording in healthcare
      • 1.4 Unburdening the process
    • 2. Planning your initiative
      • 2.1 Pioneer team
      • 2.2 Gaining team buy-in
      • 2.3 Tips & Tricks
    • 3. Safe, Simple & Small
      • 3.1 Safe
      • 3.2 Simple
      • 3.3 Small
    • 4. Learning from success stories
      • 4.1 Share your experience
  • LEVEL 2: In Action
    • LEVEL 2 In action
    • RECORD
    • 5. Preparation and Consent
      • 5.1 Obtain Consent
      • 5.2 Case selection
      • 5.3 Privacy Considerations
    • 6. Recording equipment
      • 6.1 Fixed cameras
      • 6.2 Mobile cameras
      • 6.3 Wearable cameras
      • 6.4 Patient monitoring systems
      • 6.5 Motion-detecting cameras
    • 7. Creating footage
      • 7.1 Steady Footage
      • 7.2 Clear Audio
      • 7.3 Lighting
    • 8. Recording during the Intervention
      • 8.1 Positioning
      • 8.2 Settings
      • 8.3 During recording
    • 9. After the Intervention
      • 9.1 File Transfer and Backup
      • 9.2 Simple Video Editing
      • 9.3 Metadata and Archiving
    • REFLECT
    • 10. Previewing
      • 10.1 Questions to ask during previewing
    • 11. Let's Neoflix
      • 11.1 Getting the most out of your Neoflix session
      • 11.2 A Safe Learning Environment
      • 11.3 Tasks of the chair
      • 11.4 Unlocking Insights
    • REFINE
    • 12. Improving Care Through the Neoflix approach
    • 13.1 The Neoflix approach
      • 13.1 Protocol or equipment adjustment
      • 13.2 Input for research
      • 13.3 Learning from variety or best practices
      • 13.4 Development of training programs or educational material
    • 14. Education and training
    • 15. Recordings for research
    • 16. Tool for implementing new practices
  • Level 3: Growth
    • LEVEL 3: GROWTH
    • 17. Continuous Improvement
    • 18. Expanding Your Video Program
      • 18.1 Revolutionize Reflection in Medical Care: Join the Network
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  1. LEVEL 2: In Action

13.1 The Neoflix approach

NICU LUMC

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Last updated 1 year ago

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Based on video review, the Neoflix team in the LUMC's NICU identified three core components that contributed to improving neonatal procedures:

  • (i) Enhancing appropriate application of external evidence: Correctly applying guidelines and using equipment.

  • (ii) Learning from individual clinical expertise: Adapting procedures in the 'gray zone' where guidelines don't cover all situations, ensuring the best approach based on individual patient, context, and setting.

  • (iii) Strengthening teamwork and resilience of the NICU team: Ability to cope with complexity and adapt to changing conditions.

The following actions or interventions were defined for the Neoflix project:

  1. : If guidelines or equipment are used incorrectly, either healthcare providers are educated or the guideline/equipment is adjusted.

  2. If a knowledge gap is identified, research is initiated (literature search or consultation with an expert/researcher). Gained knowledge is shared with the team.

  3. Healthcare providers learn from successful variations in practice where guidelines fall short, improving their performance to suit specific patients and contexts.

  4. If teamwork or communication skills need improvement, training programs or educational materials are developed.

Implementation

Action research cycles were used to implement interventions, observe their effect over time, and re-evaluate their impact.

  • Step 1: Categorization: Findings from video review were categorized as (1) protocol or equipment adjustments, (2) research topics, (3) tips and tricks or variations in care, or (4) needs for educational material or training programs. We also determined if the action targeted medical, nursing staff, or both.

  • Step 2: Strategy and Implementation: The appropriate strategy was followed. Due to rotating staff, protocol adjustments required discussion at a larger staff meeting. Best practices were shared via email, newsletters, or posters. Training needs were addressed in training or educational material was developed. Sessions could also prompt expert consultations or research questions.

  • Step 3: Evaluation: Subsequent video review sessions on the same procedure evaluated the implemented strategies. If no new findings arose, the cycle was closed. If changes were insufficient or discussions remained focused on the same aspects, the area of improvement was addressed in another cycle.

For more information regarding the Neoflix approach, .

Guideline/Equipment Adjustments
Input for research:
Learning from variety / best Practices:
Teamwork/Resilience Training:
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