Infant Journal
for neonatal and paediatric healthcare professionals

Maintaining quality of care through a pandemic and setting goals for future improvement

The National Neonatal Audit Programme (NNAP) was established in 2006 and continues to play an important role in driving and supporting improvements in neonatal care. The past two years have been a period of change for the NNAP, bringing a new data flow methodology, exciting opportunities to further develop the NNAP, and a new contract for the Royal College of Paediatrics and Child Health (RCPCH) to deliver the audit until 2025.

Sam Oddie
NNAP Clinical Lead, Consultant
Neonatologist, Bradford Teaching Hospitals

Rachel Winch
NNAP Manager, Royal College of Paediatrics
and Child Health

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preterm infant; supraventricular tachycardia (SVT); peripherally inserted central catheter (PICC); arrythmia; patient safety
Key points
  1. This case highlights a rare complication of upper limb PICC line insertion.
  2. Practitioners should be aware of correct insertion techniques and should always examine the vascular route of a PICC line and the PICC tip position to confirm correct placement.
  3. SVT may occur if the tip of the PICC line lies within the heart chambers. 

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Development of better teamwork on a NICU using the TeamSTEPPS concept
Many transfers of care occur on a neonatal unit with the potential for conflict of opinion, which could create a challenging working environment and impact on patient safety. Using the TeamSTEPPS programme, we set out to explore the prevailing consultant culture and its impact on team members with the objective of creating a no-blame culture and promoting a supportive environment. Through the TeamSTEPPS programme and various other interventions we have achieved a strong sense of teamwork and a setting of supportive behaviour.