The advancement in life-saving technologies and clinical expertise in the care of extremely premature infants, have resulted in the development of large neonatal intensive care units (NICU). It has been suggested that reconstruction of megaunits of neonatal intensive care to smaller care units with specific patient population and clinical team providers will be essential to maintain optimal teamwork, quality of care and patient outcome. Despite the growing knowledge around the need for reconstruction of large NICUs to smaller units of care, there is no evidence regarding the safety and efficacy of microsystem model of care on the key aspects of health care. At the McMaster Children's Hospital (MCH), we planned a change from standard model of care to the microsystem model of care and therefore we aimed to prospectively assess the effect of this organizational change on the variable aspects of health care. A working group met weekly to formulate the implementation planning, to review the adaptation and adjustment process and to ascertain the quality of implementation following the initiation of the microsystem model. The study was retrospectively registered.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Change of stress level of Health Care Professional - Salivary cortisol (ng/dL)
Timeframe: once every week, up to 3 month corrected age
Change of stress level of Parents - Salivary cortisol (ng/dL)
Timeframe: once every week, up to 3 month corrected age
Change of stress level of Patients - Salivary cortisol (ng/dL)
Timeframe: once every week, up to 3 month corrected age
Length of stay - days
Timeframe: up to 3 month corrected age
Incidence of necrotizing enterocolitis
Timeframe: up to 3 month corrected age
Incidence of retinopathia of prematurity
Timeframe: up to 3 month corrected age
Incidence of bronchopulmonary dysplasia
Timeframe: up to 3 month corrected age
Incidence of sepsis
Timeframe: up to 3 month corrected age
Duration of mechanical ventilation - days
Timeframe: up to 3 month corrected age
Time of feed initiation - days
Timeframe: up to 3 month corrected age
Time to full feed - days
Timeframe: up to 3 month corrected age
Number of days with parenteral nutrition
Timeframe: up to 3 month corrected age
Bayley scale - Psychomotor Developmental Index
Timeframe: up to 3 month corrected age
Bayley scale - Mental Developmental Index
Timeframe: up to 3 month corrected age
Number of changes in the primary health care professionals
Timeframe: up to 3 month corrected age
Noise level (decibel)
Timeframe: up to 3 month corrected age
use of resources (lab tests, X-rays, microbiological tests)
Timeframe: up to 3 month corrected age