NCCC Learning Session 2 Tomorrow!
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Looking forward to seeing all the NCCC teams at Learning Session 2 in Raleigh tomorrow. Agenda and directions here.
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NCCC / Well Baby
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 Data reports are in process and should be hitting your inbox at the beginning of next week. For the Well Baby Track you'll be seeing your data displayed in a slightly different way in addition to the usual reports based on your suggestions. Please do let us know how we can alter, improve, change, tweak the reports you're getting to better serve your needs
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NCCC: If mother's breast milk has bacteria (which is almost universally true of pumped milk) does that pose a risk to our most fragile premies? - provided by Laurie Dunn, MD
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 Pumped human milk nearly always has a degree of bacterial colonization. Controversy about safety arises, especially when using this pumped milk for the smallest premature infants. Although human milk provides numerous short and long-term benefits for this group of babies, every once in a while, a case report of late-onset sepsis linked to mother's milk is published, leading some to ask if mother's milk should be screened, and possibly pasteurized, to increase its safety profile for our premature infants. Fortunately, this month, an article and accompanying editorial helps to shed some light. (Schanler RJ et al. Breastmilk cultures and infection in extremely premature infants. Jnl of Perinatology 2011;335-338 and Herson, VC. Culturing expressed breast milk: a costly and (mostly) useless procedure. Jnl of Perinatology 2011;301) The researchers present evidence of hundreds of cultures of mothers' milk, and report that most milk has low colony counts of gram positive organisms or mixed cultures, but the predictive value for late-onset sepsis is low. Perhaps milk culture could be useful in certain specific settings (eg recurrent episodes of sepsis with the same organism, multiples infected with the same organism, or late-onset sepsis with evidence of mastitis in the mother, so that mother could be treated and her milk could continue to be used). However, it should be noted that the direction of transmission is not clear; in other words, if a breastfeeding baby becomes sick and the milk has the same organism, we really don't know if the baby transmitted the organism to mom, or vice versa. So this article becomes part of growing evidence to continue to use mother's milk, without routine culturing or pasteurization, with respect to risk of late-onset bacterial sepsis.
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| Well Baby: Resource added from the Institute for Patient- and Family- Centered Care |
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In response to requests we've added -
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 Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit
There are countless ways that patients and families can serve as advisors to enhance quality and safety, redesign systems of care, and educate health care professionals and other staff, students, and trainees about safety. Some are formal and ongoing, others are time limited and informal. All are necessary to ensure that care is safe and truly responsive to patient and family needs, priorities, goals, and values. This Mini Tool Kit contains a myriad of materials for use in partnering with patients and families to enhance safety and quality, including:
♦ Patients & Families as Advisors in Enhancing Safety and Quality: Broadening Our Vision
♦ Patient and Family Advisors: Sample Application Form
♦ Patient Safety Champions: Their Roles in Developing and Supporting Partnerships with Patients and Families
♦ Tips for Group Leaders and Facilitators on Involving Patients and Families on Committees and Task Forces
♦ Applying Patient- and Family-Centered Concepts to Rapid Response Teams
♦ Selected Resources for Partnering with Patients and Families In Patient Safety
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| Contact |
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Keith M. Cochran
PQCNC Debrouillard
keith_cochran@unc.edu
919.966.8182
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