A quality improvement initiative to implement the eat, sleep, console neonatal opioid withdrawal syndrome care tool in Massachusetts' PNQIN collaborative.

Journal of Perinatology : Official Journal of the California Perinatal Association
Elisha M WachmanMunish Gupta

Abstract

To support hospitals in the Massachusetts PNQIN collaborative with adoption of the ESC Neonatal Opioid Withdrawal Syndrome (NOWS) Care Tool© and assess NOWS hospitalization outcomes. Statewide QI study where 11 hospitals adopted the ESC NOWS Care Tool©. Outcomes of pharmacotherapy and length of hospital stay (LOS) and were compared in Pre- and Post-ESC implementation cohorts. Statistical Process Control (SPC) charts were used to examine changes over time. The Post-ESC group had lower rates of pharmacotherapy (OR 0.35, 95% CI 0.26, 0.46) with shorter LOS (RR 0.79, 95% CI 0.76, 0.82). The 30-day NOWS readmission rate was 1.2% in the Pre- and 0.4% in the Post-ESC cohort. SPC charts indicate a shift in pharmacotherapy from 54.8 to 35.0% and LOS from 14.2 to 10.9 days Post-ESC. The ESC NOWS Care Tool was successfully implemented across a state collaborative with improvement in NOWS outcomes without short-term adverse effects.

References

Apr 29, 2015·The New England Journal of Medicine·Veeral N ToliaAlan R Spitzer
Jul 30, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·S W PatrickW O Cooper
Jun 12, 2016·The American Journal on Addictions·Hendrée E JonesAlison Volpe Holmes
Nov 28, 2016·Academic Pediatrics·Debra L BogenBeth A King
Jun 1, 2017·Pediatrics·Matthew R GrossmanMatthew J Bizzarro
Dec 22, 2017·Hospital Pediatrics·Matthew R GrossmanAdam K Berkwitt
Mar 25, 2018·Pediatrics·Tyler N A WinkelmanStephen W Patrick
Apr 4, 2018·JAMA : the Journal of the American Medical Association·Elisha M WachmanMichael Silverstein
May 10, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Elisha M WachmanBonny L Whalen
Sep 12, 2018·Drug and Alcohol Dependence·Elisha M WachmanDavida M Schiff
Feb 11, 2019·Seminars in Fetal & Neonatal Medicine·Davida M Schiff, Matthew R Grossman
Jul 10, 2019·Hospital Pediatrics·Thomas BlountAshley G Sutton

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Citations

Feb 21, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Rachana SinghUNKNOWN for PNQIN Collaborative of Massachusetts
Mar 6, 2021·Seminars in Fetal & Neonatal Medicine·Rachana Singh, Jonathan M Davis
Mar 16, 2021·Frontiers in Pharmacology·Alireza SafaJohn Oberdick
Sep 25, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Lori A DevlinJonathan M Davis

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Methods Mentioned

BETA
pharmacotherapy

Clinical Trials Mentioned

NCT04057820

Software Mentioned

ESC NOWS Care Tool©
NOWS
NOWS Care Tool
ESC NOWS
ESC Care Tool
ESC
ESC NOWS Care Tool

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