Implementation of the Hammersmith Infant Neurological Examination in a High-Risk Infant Follow-Up Program
Implementation of the Hammersmith Infant Neurological Examination in a High-Risk Infant Follow-Up Program
复制标题
DOI：
10.1016/j.pediatrneurol.2016.09.010
复制
发表时间：
2016-12-01
影响因子：
3.8
通讯作者：
Guzzetta, Andrea
中科院分区：
文献类型：
--
作者：
Maitre, Nathalie L.;Chorna, Olena;Guzzetta, Andrea
背景：高危婴儿随访计划为神经发育迟缓和损伤的治疗提供早期识别和转诊。在这些项目中，标准化的神经学检查是临床和研究目的评估的关键组成部分。方法：为了应对提供者教育多样性和标准化文件的主要挑战，我们设计了一种培训和实施Hammersmith婴儿神经学检查的方法，包括课前材料、研讨会模式和电子病历的改编。结论：在Hammersmith婴儿神经学检查培训之前和之后，评估了提供者的完成性和神经学检查的记录。对大型高危婴儿进行标准化培训和实施Hammersmith婴儿神经学检查是可行和有效的，并可对神经学结果和发育轨迹进行定量评估。
BACKGROUND: High-risk infant follow-up programs provide early identification and referral for treatment of neurodevelopmental delays and impairments. In these programs, a standardized neurological examination is a critical component of evaluation for clinical and research purposes. METHODS: To address primary challenges of provider educational diversity and standardized documentation, we designed an approach to training and implementation of the Hammersmith Infant Neurological Examination with precourse materials, a workshop model, and adaptation of the electronic medical record. CONCLUSIONS: Provider completion and documentation of a neurological examination were evaluated before and after Hammersmith Infant Neurological Examination training. Standardized training and implementation of the Hammersmith Infant Neurological Examination in a large high-risk infant follow-up is feasible and effective and allows for quantitative evaluation of neurological findings and developmental trajectories.