Newborn Screening Collection and Delivery Processes in Michigan Birthing Hospitals: Strategies to Improve Timeliness
Newborn Screening Collection and Delivery Processes in Michigan Birthing Hospitals: Strategies to Improve Timeliness
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DOI：
10.1007/s10995-018-2524-z
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发表时间：
2018-10-01
影响因子：
2.3
通讯作者：
Zayas-Caban, Gabriel
中科院分区：
文献类型：
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作者：
Cochran, Amy L.;Tarini, Beth A.;Zayas-Caban, Gabriel
本研究旨在确定新生儿筛查收集和分娩过程中的哪些步骤会导致延误，并确定提高及时性的策略。方法对2014年4月至2015年3月期间在密歇根州83家医院接受新生儿筛查的婴儿（N=94,770）进行数据分析。线性混合效应模型估计了医院和新生儿特征对过程中步骤之间时间的影响，而模拟则探讨了如何通过调整国家实验室和医院标本采集的时间表来提高及时性。结果从采集到收到到达国家实验室的时间随采集时间的不同而变化很大(P
Objectives This study aimed to determine which steps in the newborn screening collection and delivery processes contribute to delays and identify strategies to improve timeliness. Methods Data was analyzed from infants (N=94,770) who underwent newborn screening at 83 hospitals in Michigan between April 2014 and March 2015. Linear mixed effects models estimated effects of hospital and newborn characteristics on times between steps in the process, whereas simulation explored how to improve timeliness through adjustments to schedules for the state laboratory and for specimen pickup from hospitals. Results Time from collection to receipt of arrival to the state laboratory varied greatly with collection timing (P