NOG NIET ONLINE 2. Implementing and re-defining video review

Quality improvement initiative: implementing and re-defining video review of real-time neonatal procedures using action research

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REFERENTIE INVULLEN WANNEER GEPUBLICEERD.

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The Challenge: Optimizing NICU care for the best possible outcomes

The NICU is a high-stakes environment where even small improvements can have a profound impact on the lives of fragile infants. Yet, achieving optimal care remains a challenge due to the complex and dynamic nature of the work. Video review of real-time procedures offers a powerful lens for self-reflection and team improvement. However, successfully implementing this tool in the NICU requires careful attention to the delicate balance between critique and creating a safe learning space.

The Breakthrough: Harnessing the power of video review for team-driven improvement

We embarked on a groundbreaking initiative to expand and improve our NICU's video review program. Our goals were ambitious: record a wider range of procedures, include both medical and nursing staff, and, most importantly, foster a collaborative, non-judgmental learning environment. We didn't just create a guideline; we lived it. Using an action research approach, we constantly observed, gathered feedback, and refined our process with every session. This real-world adaptation is what makes our findings so valuable.

What We Achieved:

• Engagement: 18 well-attended sessions with participation of medical and nursing staff.

• Acceptance: Providers embraced the process and felt safe sharing their perspectives.

• A Living Guideline: A robust, practical guideline emerged through this collaborative effort.

The Secret Ingredient: A safe space for learning and growth

• Beyond Critique: Fostering a collaborative learning culture.

• Team Empowerment: Everyone's insights matter.

• From Feedback to Action: Translating observations into better care.

The Big Picture: A model for other high-stakes healthcare settings

Our redefined guideline offers a roadmap for other hospitals seeking to harness the power of video review. By prioritizing a safe learning environment, video review can become a cornerstone of continuous improvement in the NICU and beyond.

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