Children's Hospital of Philadelphia
This is a hybrid type 3 effectiveness-implementation parallel cluster randomized superiority trial designed to compare two strategies to promote early supraglottic airway (SA) rescue during neonatal resuscitation, with a focus on implementation outcomes.
Each year, approximately 3.8 million infants are born in the United States, and up to 10% require resuscitation to establish breathing at birth. Positive pressure ventilation (PPV) is the most important intervention during neonatal resuscitation and is most often delivered via facemask. However, facemask ventilation can be technically challenging, and difficulties with mask seal, airway positioning, and obstruction frequently lead to ventilation failure. Such delays prolong life-threatening asphyxia and increase the risk of morbidity and mortality. The supraglottic airway (SA) is an FDA-appro…
Population 1: Hospital Staff Population 1a: Clinical providers and administrators who complete study questionnaires Clinical provider 1a inclusion criteria: * Employed full-time by the hospital, affiliated practice, or affiliated university in a role that involves newborn resuscitation * Fluent in English Administrator 1a inclusion criteria * Oversee the care of newborns on a local level (e.g. nurse manager) or a hospital level (e.g. Chief Quality and Safety Officer) * Fluent in English Clinical provider and administrator exclusion 1a criteria: No exclusion criteria Population 1b: Clini…
Enhanced Standard of Care ("Enhanced") will include: Educational Materials and Outreach, Local Champions, Train the Trainer, Local Simulation Training, and SA Starter Packs.
Enhanced Standard of Care ("Enhanced-Plus") will include: Educational Materials and Outreach, Local Champions, Train the Trainer, Local Simulation Training, SA Starter Packs, and three additional intensive external facilitation components.