Browsing by Author "Bonachea, Elizabeth M."

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Improving the identification of acute kidney injury in the neonatal ICU: three centers’ experiences
    (Nature, 2022-02) Starr, Michelle C.; Chaudhry, Paulomi; Brock, Allyson; Vincent, Katherine; Twombley, Katherine; Bonachea, Elizabeth M.; Mohamed, Tahagod H.; Pediatrics, School of Medicine
    OBJECTIVE: To describe three different standardized approaches to improving neonatal acute kidney injury (AKI) identification and the impact on AKI identification, incidence, and nephrology consultation and referral. STUDY DESIGN: A retrospective cohort study in three academic NICUs. We compared AKI identification, AKI incidence, nephrology consultation, and nephrology follow-up before and after implantation of local protocols to standardize neonatal AKI identification. RESULT: Neonatal AKI identification improved in all three NICUs following protocol implementation (26-85%, P < 0.0001). Each center also saw increases in nephrology consultation (15-83%, P < 0.0001) and nephrology follow-up (7-73%, P < 0.0001). AKI incidence decreased significantly (21-12%, P < 0.0001). CONCLUSION: Multiple strategies can be successfully operationalized to improve neonatal AKI identification. While different in approach, each strategy resulted in increased AKI identification and nephrology involvement. This study emphasizes the importance of local standardized approaches to AKI to improve AKI identification and nephrology involvement in the NICU.
  • Thumbnail Image
    Item
    Part 6: Essentials of Neonatal–Perinatal Medicine fellowship: program administration
    (Springer, 2022) Gillam-Krakauer, Maria; Sharma, Jotishna; Myers, Patrick; ONTPD Fellowship Directors Writing Group; Bonachea, Elizabeth M.; Pediatrics, School of Medicine
    A successful Neonatal–Perinatal Medicine fellowship (NPM-F) program requires presence and insight of national and institutional supervisory organizations as well as effective program-specific leaders: program director (PD), associate program director (APD), program coordinator (PC), and core faculty. It is becoming more common for PDs and APDs to have advanced training in medical education and conduct medical education research. While NPM-F program leaders benefit from a strong national NPM educator community, they face challenges of increased regulatory burden and unclear national guidelines with variable local interpretation for protected time. National and local organizations can support program leaders and promote their academic success while reducing burnout and turnover by providing leadership training, academic mentoring, and adequate protected time for research and program-specific tasks.