Published online Feb 8, 2017. doi: 10.5409/wjcp.v6.i1.69
Peer-review started: June 28, 2016
First decision: September 5, 2016
Revised: October 12, 2016
Accepted: November 16, 2016
Article in press: November 17, 2016
Published online: February 8, 2017
Processing time: 220 Days and 14.9 Hours
To determine the feasibility of introducing video recording (VR) of neonatal resuscitation (NR) in a perinatal centre.
This was a prospective cohort quality improvement study on preterm infants and their caregivers. Based on evidence and experience of other centers using VR intervention, a contextually relevant implementation and evaluation strategy was designed in the planning phase. The components of intervention were pre-resuscitation team huddle, VR of NR and video debriefing (VD), all occurring on the same day. Various domains of feasibility and sustainability as well as feasibility criteria were predefined. Data for analysis was collected using quantitative and qualitative methods.
Seventy-one caregivers participated in VD of 14 NRs facilitated by six trained instructors. Ninety-one percent of caregivers perceived enhanced learning and patient safety and, 48 issues were identified related to policy, caregiver roles, and latent safety threats. Ninety percent of caregivers expressed their willingness to participate in VD activity and supported the idea of integrating it into a resuscitation team routine. Eighty-three percent and 50% of instructors expressed satisfaction with video review software and quality of audio VR. No issues about maintenance of infant or caregivers’ confidentiality and erasure of videos were reported. Criteria for feasibility were met (refusal rate of < 10%, VR performed on > 50% of occasions, and < 20% caregivers’ perceiving a negative impact on team performance). Necessary adaptations to enhance sustainability were identified.
VR of NR as a standard of care quality assurance activity to enhance caregivers’ learning and create opportunities that improve patient safety is feasible. Despite its complexity with inherent challenges in implementation, the intervention was acceptable, implementable, and potentially sustainable with adaptations.
Core tip: Despite proven benefits video recording (VR) of neonatal resuscitation (NR) is not adopted by all perinatal centres. Major reasons include challenges in operationalization and sustainability. Understanding the enablers and mitigation strategies is crucial on making a decision on widespread adoption of VR of NR by hospitals. We conducted a feasibility analysis of introducing VR of NR in the delivery room. It was introduced as a standard of care quality assurance activity to enhance caregiver learning and address system issues that compromise patient safety. Our study results indicate that VR of NR was effective, acceptable, implementable, and potentially sustainable with adaptations.