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Iatrogenic complications in the neonatal intensive care unit

Journal of Perinatology volume 30, pages S51–S56 (2010)Cite this article

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Abstract

With the introduction of novel technologies and approaches in neonatal care and the lack of appropriately designed and well-executed randomized clinical trials to investigate the impact of these interventions, iatrogenic complications have been increasingly seen in the neonatal intensive care unit. In addition, increased awareness and the introduction of more appropriate quality control measures have resulted in higher levels of suspicion about and increased recognition of complications associated with delivery of care. The incidence of complications also rises with the increased length of hospital stay and level of immaturity. Approximately half of the iatrogenic complications are related to medication errors. The other complications are due to nosocomial infections, insertion of invasive catheters, prolonged mechanical ventilation, administration of parenteral nutrition solution, skin damage and environmental complications. Adopting newer technologies and preventive measures might decrease these complications and improve outcomes. Quality improvement projects targeting areas for improvement are expected to build team spirit and further improve the outcomes. In addition, participation in national reporting systems will enhance education and provide an opportunity to compare outcomes with peer institutions.

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Authors and Affiliations

  1. Department of Pediatrics, Neonatal-Perinatal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    K C Sekar

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  1. K C Sekar
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Correspondence to K C Sekar.

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Competing interests

KC Sekar was a member of the speaker's bureau and a consultant for Dey, LP.

Additional information

This paper resulted from the Evidence vs Experience in Neonatal Practices conference, 19 to 20 June 2009, sponsored by Dey, LP.

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Sekar, K. Iatrogenic complications in the neonatal intensive care unit. J Perinatol 30 (Suppl 1), S51–S56 (2010). https://doi.org/10.1038/jp.2010.102

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