Tag: hospitals

  • Operational Efficiency in Hospitals: Impact on Neonatal Nurses

    Operational Efficiency in Hospitals: Impact on Neonatal Nurses

    Home » Careers in Nursing » Operational Efficiency in U.S. Hospitals: Impact on Neonatal Nurses, Patient Safety, and Outcomes

    Operational efficiency in hospitals — the streamlining of staffing, workflows, and resource use — is essential to delivering safe and high-quality care. 

    Taryn M. Edwards, M.S.N., APRN, NNP-BC

    President, National Association of Neonatal Nurses

    At its core, operational efficiency helps reduce delays, minimize risks, and improve patient safety. Nowhere is this more critical than in neonatal intensive care units (NICUs), where even small disruptions can affect outcomes for the most fragile patients. From preventing infections to reducing medical errors, efficient operations are directly linked to patient safety and nurse effectiveness.

    In NICUs, nurse-to-patient ratios and timely task completion are directly tied to patient safety. Studies show that many U.S. NICUs regularly fall short of national staffing recommendations, particularly for high-acuity infants. These shortfalls are linked to increased infection rates and higher mortality among very low-birth-weight babies, some experiencing a nearly 40% greater risk of hospital-associated infections due to inadequate staffing.

    In such high-stakes environments, missed care isn’t just a workflow issue; it’s a safety hazard. Neonatal nurses manage hundreds of tasks per shift, including medication administration, monitoring, and family education. When units are understaffed or systems are inefficient, essential safety checks can be delayed or missed. In fact, up to 40% of NICU nurses report regularly omitting care tasks due to time constraints.

    Improving NICU care

    Efficient operational systems support safety in tangible ways. Structured communication protocols, such as standardized discharge checklists and safety huddles, reduce handoff errors and ensure continuity of care. One NICU improved its early discharge rate from just 9% to over 50% using such tools, enhancing caregiver readiness and parental satisfaction while decreasing length of stay.

    Work environments also matter. NICUs with strong professional nursing cultures and transparent data-sharing practices report fewer safety events and higher overall care quality. Nurses in these units are up to 80% less likely to report poor safety conditions, even when controlling for staffing levels.

    Finally, operational efficiency safeguards nurses themselves. By reducing unnecessary interruptions and missed tasks, it protects against burnout, a key contributor to turnover and medical error. Retaining experienced neonatal nurses is itself a vital safety strategy, ensuring continuity of care and institutional knowledge.

    Ultimately, operational efficiency is a foundation for patient safety, clinical excellence, and workforce sustainability. For neonatal nurses, it creates the conditions to provide thorough, attentive care. For the tiniest patients, it can mean shorter stays, fewer complications, and stronger chances for a healthy start.

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  • After Hechinger story, Illinois passes law requiring hospitals to connect parents of premature infants with life-changing therapies

    After Hechinger story, Illinois passes law requiring hospitals to connect parents of premature infants with life-changing therapies

    Illinois hospital staff will soon be required by law to refer parents of severely premature infants to services that can help prevent years of intensive and expensive therapy later, when the children are older. The new law follows reporting from The Hechinger Report that exposed how hospitals often fail to connect many eligible parents to these opportunities for their children after they leave neonatal intensive care units.

    Earlier this year, Hechinger contributor Sarah Carr wrote about how, across the country, far too few parents are made aware of the kinds of therapies their babies are entitled to under federal law. Such early intervention services can ultimately reduce the need for these children to require costly special education support as schoolchildren. 

    Carr noted: “Federal law says children with developmental delays, including newborns with significant likelihood of a delay, can get early intervention from birth to age 3. States design their own programs and set their own funding levels, however. They also set some of the criteria for which newborns are automatically eligible, typically relying on qualifying conditions like Down syndrome or cerebral palsy, extreme prematurity or low birthweight. Nationally, far fewer infants and toddlers receive the therapies than should. The stats are particularly bleak for babies under the age of 1: Just 1 percent of these infants get help. Yet an estimated 13 percent of infants and toddlers likely qualify.”

    After the Hechinger Report story was published, Illinois state Rep. Janet Yang Rohr authored legislation to require that hospitals distribute materials informing parents of premature and low birth weight babies about their eligibility for early intervention therapies. The bill also required that hospitals make a nurse or physical therapist available to explain these rights to families.

    Related: Young children have unique needs and providing the right care can be a challenge. Our free early childhood education newsletter tracks the issues. 

    “The problem is that these families often don’t know about these services,” Yang Rohr said last spring, after her chamber passed the bill. “So this bill improves that early intervention process by requiring NICU staff to share information about these services and requires hospital staff to write a referral to these programs for families that are eligible.”

    Illinois Representative Janet Yang Rohr Credit: ILGA

    Illinois Gov. JB Pritzker signed that bill into law earlier this month. It takes effect in January. 

    Carr also wrote: “The stakes are high for these fragile, rapidly growing babies and their brains. Even a few months of additional therapy can reduce a child’s risk of complications and make it less likely that they will struggle with talking, moving and learning down the road. In Chicago and elsewhere, families, advocates and physicians say a lot of the failures boil down to overstretched hospital and early intervention delivery systems that are not always talking with families very effectively, or with each other hardly at all. ‘They really put the onus of helping your child get better outcomes on you,’ said Jaclyn Vasquez, an early childhood consultant who has had three babies of her own spend time in the NICU.”

    “Early intervention is life-changing for many families, as these programs provide critical services and therapies as children develop,” Illinois state Sen. Ram Villivalam said when the bill was sent to Pritzker. “But, these services can only benefit those they are able to reach, which means uplifting the program and expanding its outreach to those who need it is imperative.”

    Contact editor Nirvi Shah at 212-678-3445, securely on Signal at NirviShah.14 or via email at [email protected].

    This story about premature infants was produced by The Hechinger Report, a nonprofit, independent news organization focused on inequality and innovation in education. Sign up for the Hechinger newsletter.

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  • Struggling soup kitchens and hospitals in Sudan face uncertainty amid U.S. aid freeze (CBS News)

    Struggling soup kitchens and hospitals in Sudan face uncertainty amid U.S. aid freeze (CBS News)

    When President Trump ordered a 90-day freeze on foreign aid, no one felt the impact more than the people of Sudan. Two years of civil war has left more than 25 million Sudanese starving in what is the largest humanitarian crisis the world has ever seen. Debora Patta reports.

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