Tag Archives: Health Care Organization

Two New Publications

Posted on 15 August 2016 by Keith Barrington

After a few weeks break (for a number of reasons), I’m ready to start blogging again! I’m sure you have all missed the succinct and perceptive critiques of the recent neonatal literature, but today I will start with 2 publications … Continue reading →

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Neonatal nurses save lives, if you have enough of them.

Posted on 13 June 2016 by Keith Barrington

In the UK an “intensive care” day for a newborn is defined as a day where the baby is intubated and ventilated, or is on non-invasive respiratory support (CPAP of non-invasive ventilation) AND parenteral nutrition, or on the day of … Continue reading →

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Are we family centered? Families don’t think so!

Posted on 25 May 2015 by Keith Barrington

Finlayson K, et al. Mothers’ perceptions of family centred care in neonatal intensive care units. Sex Reprod Healthc. 2014;5(3):119-24. This qualitative study interviewed mothers who had babies in one of three NICUs in the UK which claim to practice family-centered care. As … Continue reading →

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Neonatal Intensive Care Units work!

Posted on 17 March 2014 by Keith Barrington

The first Epicure study had relatively poor survival rates, especially for the more immature babies. Of course the data were regional data, including all babies born in the UK and Ireland, so they included babies born in places with very … Continue reading →

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Screening for Hyperbilirubinemia

Posted on 14 March 2014 by Keith Barrington

When I was chair of the CPS Fetus and Newborn committee, we produced several position statements, one of which I was quite proud was written by myself and by Dr Sankaran from Saskatoon, it was a guideline for the screening … Continue reading →

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Drug shortages

Posted on 18 December 2013 by Keith Barrington

The recent study by Kluckow and his colleagues points out another serious issue in neonatology: drug shortages. In recent times we have had poor or no supplies of dramatically important drugs, including for example indomethacin, phenobarbitone and more recently caffeine. We also … Continue reading →

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The walking dead: the uninsured in the USA

Posted on 18 November 2013 by Keith Barrington

I don’t normally comment on politics here, it isn’t the point of this blog but sometimes I probably won’t be able to stop myself. I worked in San Diego for 4 years, and I saw a lot of the good … Continue reading →

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Probiotics in the NICU: a ‘how-to’ guide

Posted on 22 May 2013 by Keith Barrington

I have had several communications from people interested in starting the use of probiotics in their nurseries. There are often roadblocks, and some reluctance from either infection control, or pharmacy and therapeutics committees (or both). I will recount what we … Continue reading →

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Not only Neonatology

Posted on 26 January 2013 by Keith Barrington

I really appreciate the writings of Atul Gawande, his articles and his books: ‘Complications’ ‘Better’ and ‘The checklist manifesto’. I just saw a TED talk he gave in March last year, 19 minutes on how to fix medicine. Link here. … Continue reading →

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Neonatal Heart Surgery and Surgical volumes

Posted on 3 September 2012 by Keith Barrington

I wanted to write about this issue for a while, but it is a very complex problem. There are many studies which show varying outcomes of pediatric, and in particular neonatal, heart surgery. By which I mean that some programs have fewer … Continue reading →

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