Development of the NEC-Zero Toolkit: Supporting Reliable Implementation of Necrotizing Enterocolitis Prevention and Recognition

Sheila M. Gephart, Katherine Newnam, Christina Wyles, Claire Bethel, Caroline Porter, Megan Christine Quinn, Jennifer Canvasser, Erin Umberger, Marita Titler

Research output: Contribution to journalArticlepeer-review

Abstract

The goal of the NEC-Zero project is to reduce the burden of necrotizing enterocolitis (NEC) by increasing access to evidence-based tools to help clinicians and parents integrate evidence into daily care. It involves (a) human milk feeding with prioritized mother's own milk; (b) use of a unit-adopted standardized feeding protocol; (c) a unit-adopted strategy for timely recognition that integrates risk awareness and a structured communication tool when symptoms develop; and (d) stewardship of empiric antibiotics and avoidance of antacids. A toolkit for caregivers and parents was developed to make implementation consistent. For clinicians the toolkit includes: the GutCheckNEC risk score, a structured communication tool, the “Avoiding NEC” checklist, and the NEC-Zero website. For parents, NEC-Zero tools include the website, three educational brochures in English and Spanish, and a collaborative care video produced with the NEC Society. This article describes the toolkit and how it has been accessed and used.

Original languageEnglish (US)
Pages (from-to)6-15
Number of pages10
JournalNeonatal Network
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2020

Keywords

  • family engagement
  • necrotizing enterocolitis
  • neonatal intensive care
  • quality improvement toolkit

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care
  • Critical Care and Intensive Care Medicine

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