@article{b7ebe10c1f1a45f79d1e7e756040a3a4,
title = "Development of the NEC-Zero Toolkit: Supporting Reliable Implementation of Necrotizing Enterocolitis Prevention and Recognition",
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.",
keywords = "family engagement, necrotizing enterocolitis, neonatal intensive care, quality improvement toolkit",
author = "Gephart, \{Sheila M.\} and Katherine Newnam and Christina Wyles and Claire Bethel and Caroline Porter and Quinn, \{Megan Christine\} and Jennifer Canvasser and Erin Umberger and Marita Titler",
note = "Funding Information: Dr. Gephart received support from the Robert Wood Johnson Foundation Nurse Faculty Scholars Program (72114), the Agency for Healthcare Research and Quality (AHRQ; K08HS022908), and the Pacific Southwest Region of the National Network of Libraries of Medicine (NNLM; NIH; UG4LM012341). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Robert Wood Johnson Foundation. We wish to thank all who participated in the NEC Symposium at Davis, California, in April 2017, including Dr. Rebecca Vartanian for their contributions and critique of the Avoiding NEC checklist. We also are thankful to the NEC-Zero working group for their formative work critiquing the evidence and implementation strategies for NEC prevention in 2015. They include Corrine Hanson, PhD, RD, LMNT; Christine M. Wetzel, MSN, RN, IBCLC; Michelle Fleiner, DNP, RNC-NIC, CCNS; Erin Umberger, M.Arch; Laura Martin, MMEd; Suma Rao, MD; Amit Agrawal, MD; Terri Marin, PhD, NNP-BC; Khaver Kirmani, MD; Jenny Quinn, MSN, RN, NNP-BC, MHA; Katherine Dudding, BSN, RNC-NIC; Tanya Clay, BS; Jason Sauberan, PharmD; Yael Eskenazi, BS, RN; Caroline Porter, BS, RN; Amy Msowoya, DNP, FNP-BC; Christina Wyles, MS, MLIS, RN; Melissa Ruiz, BS, RN;17 Shayla Vo; Kris Reber, MD; and Jennifer Duchon, MDCM, MPH. Thank you to Anthony Tolentino for formatting the checklist and David Celaya for his tireless work on the website. Funding Information: Dr. Gephart received support from the Robert Wood Johnson Foundation Nurse Faculty Scholars Program (72114), the Agency for Healthcare Research and Quality (AHRQ; K08HS022908), and the Pacific Southwest Region of the National Network of Libraries of Medicine (NNLM; NIH; UG4LM012341). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health, AHRQ, or the Robert Wood Johnson Foundation. Publisher Copyright: {\textcopyright} Copyright 2020 Springer Publishing Company, LLC.",
year = "2020",
month = jan,
day = "1",
doi = "10.1891/0730-0832.39.1.6",
language = "English (US)",
volume = "39",
pages = "6--15",
journal = "Neonatal Network",
issn = "0730-0832",
publisher = "Springer Publishing Company",
number = "1",
}