| Learning Session Dates for your Calendars |
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 May 19: The second in-person learning session for this initiative will be held in Raleigh on May 19th. Please have one member of your team click here to pre-register the members of your team who will attend the learning session.
June 13: Please mark your calendars and have as many of your team participate as possible in our final meeting by webinar from 2-4 pm. Connection information will be shared in future email.
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Literature Review about feedings and transfusions submitted by Laurie Dunn, MD
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 "A new topic that is getting attention in the literature is transfusion-related NEC (also known as TRAGI, transfusion-related acute gut injury). One of the questions is whether or not feeding practices surrounding transfusions would decrease the occurrence of this devastating illness. Two new articles this month address this. A retrospective case-control study (El-Dib M, et al. Red blood cell transfusion, feeding and necrotizing enterocolitis in preterm infants, Jnl of Perinatology (2011);31:183-187) compared two eras of practice in their unit in Washington DC. Feeds were held during transfusions only in the latter era; it appeared that withholding feeds was protective. However, another article (Blau J, et al. Transfusion-related acute gut injury:necrotizing enterocolitis in VLBW neonates after packed red blood cell transfusion. J Peds (2011);158:403-409) from Valhalla, NY details their unit's experience, in which TRAGI occurred despite withholding feeds surrounding the transfusion. Perhaps future large-scale studies involving more than one center will help shed more light on this, and will help us understand if modifying feeding practices can help protect against this "TRAGIc" disease."
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| Announcement: NPIC/QAS Continuing Education Program: Addressing In-Hospital Newborn Falls |
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 This program will provide healthcare professionals with the current incidence on in-hospital newborn falls, factors that increase falls and potential interventions to prevent newborn falls. Click here for more information about this program.
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| Contact |
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 Karen Metzguer
PQCNC Improvement Advisor
metzguer@med.unc.edu
Work: 919-966-8391
Mobile: 919-619-6332
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