Simulation to improve quality of care during neonatal MRI intramural transport.
Our sickest patients often require transport from the NICU to different parts of the hospital for investigations that help guide their care. The transport process is complex with the potential for latent safety threats to be present. This project uses simulation to recreate that process of going from the NICU to receive an MRI in order those safety threats. By doing this, we are working to make change to how we perform transports in order to prevent errors from happening and better understand how we can safely conduct neonatal intramural transports.
Use of simulation in Canadian neonatal-perinatal medicine training programs.
Simulation is being increasingly used in medical education. It is effective in improving knowledge and in many fields has been associated with improved performance. Simulation is being considered not only for delivery of education but also for assessment. Before such a tool is used routinely in neonatal training across Canada, it is important to understand its current usage by accredited training programs. Therefore, we are conducting a survey to program directors and fellows across all neonatal training programs in Canada.
The effect of CPAP versus non-invasive high frequency ventilation on the electrical activity of the diaphragm.
Non-invasive ventilation is being used commonly amongst preterm infants, and there is increasing use of non-invasive high frequency ventilation. We are conducting a study to better understand how this mode of ventilation helps infants as compared to another commonly used mode, which is continuous positive airway pressure (CPAP). We are able to do this through measuring the electrical activity of the diaphragm, and by this method better understand how these different modes of ventilation affect how a baby breaths.