Clinical Evaluation of the "NICU Clinical Decision Support Dashboard" - CHMCO

Clinical Evaluation of the "NICU Clinical Decision Support Dashboard"

This study evaluates the use of a NICU clinical integration system (Dashboard and accessories) in improving the quality of care delivered, patient health outcomes, and parent and clinician satisfaction. Clinicians will be asked to follow their current standard of care practices with the aid of this technology. About half of participants will receive care in NICU rooms with the Dashboard installed while the other half will receive standard care without the Dashboard.

The current NICU environment can be stressful and overwhelming for parents of babies admitted and for clinicians caring for the babies. There is a wide range of monitors in a very clinical environment that does not take into account the comfort of neonates.

The Dashboard works in parallel with EHR and systems of record, and provides a cohesive view of the patient's status and planned clinical workflow in a single location for both parents and staff. Accessories such as environmental sensors and cameras are used to ensure that the environment is comfortable and promotes optimal development of the baby. Caregivers can educate and coach parents to facilitate integrating them into their infant's care. The NICU Dashboard also supports a family view to facilitate education and assist the family in tracking core measures and developmental milestones.

NEONATES AND THEIR PARENTS

Inclusion Criteria:

• Admission to the NICU
• At least one parent (biological, guardian, or adoptive) involved
• One parent can understand and speak the English language
• Parent aged 14 years or older
• Parent with sufficient mental capacity to provide written informed consent as determined by a RN
• Signed informed consent
• Aged 19+ yrs: Signed by parent of NICU baby
• Aged <19 yrs (minor): signed by both parent of NICU baby and parent/guardian of parent

Exclusion Criteria:

• Expected discharge from the NICU in <48 hours

CLINICIANS INTERACTING WITH THE NICU DASHBOARD

Inclusion Criteria:

• Employee of institution with direct patient care in the NICU (e.g. physician, NP, RN, therapist)
• Aged 19 years or older
• Expected interaction with the NICU Dashboard
• Signed informed consent

Exclusion Criteria:

• No interaction with the NICU Dashboard