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Review
. 2023 Jun;50(2):399-420.
doi: 10.1016/j.clp.2023.01.004. Epub 2023 Mar 9.

All Care is Brain Care: Neuro-Focused Quality Improvement in the Neonatal Intensive Care Unit

Melissa Liebowitz  1 , Katelin P Kramer  2 , Elizabeth E Rogers  3
Affiliations
Review

All Care is Brain Care: Neuro-Focused Quality Improvement in the Neonatal Intensive Care Unit

Melissa Liebowitz et al. Clin Perinatol. 2023 Jun.

Abstract

Neonates requiring intensive care are in a critical period of brain development that coincides with the neonatal intensive care unit (NICU) hospitalization, placing these infants at high risk of brain injury and long-term neurodevelopmental impairment. Care in the NICU has the potential to be both harmful and protective to the developing brain. Neuro-focused quality improvement efforts address 3 main pillars of neuroprotective care: prevention of acquired injury, protection of normal maturation, and promotion of a positive environment. Despite challenges in measurement, many centers have shown success with consistent implementation of best and potentially better practices that may improve markers of brain health and neurodevelopment.

Keywords: Neonatal brain care; Neonatology; Neurodevelopment; Neuroprotection; Quality improvement.

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