title: Homecare and Healthcare Utilization Errors Post-Neonatal Intensive Care Unit Discharge.
abstract: BACKGROUND
  High-risk infants transitioning from the neonatal intensive care unit (NICU) to home represent a vulnerable population, given their complex care requirements. Little is known about errors during this period.
  
  
  OBJECTIVE
  Identify and describe homecare and healthcare utilization errors in high-risk infants following NICU discharge.
  
  
  METHODS
  This was a prospective observational cohort study of homecare (feeding, medication, and equipment) and healthcare utilization (appointment) errors in infants discharged from a regional NICU between 2011 and 2015. Chi-square test and Wilcoxon rank-sum test were used to compare infant and maternal demographics between infants with and without errors.
  
  
  RESULTS
  A total of 363 errors were identified in 241 infants during 635 home visits. The median number of visits was 2. No significance was found between infant and maternal demographics in those with or without errors.
  High-risk infants have complex care needs and can benefit from regular follow-up services. Home visits provide an opportunity to identify, intervene, and resolve homecare and healthcare utilization errors.
  Further research is needed to evaluate the prevalence and cause of homecare errors in high-risk infants and how healthcare resources and infant health outcomes are affected by those errors. Preventive measures and mitigating interventions that best address homecare errors require further development and subsequent description.
authors.affiliation: Santa Clara Valley Health and Hospital System, San Jose, California.
authors.forename: Rupalee
authors.initials: R
authors.lastname: Patel
authors.forename: Matthew
authors.initials: M
authors.lastname: Nudelman
authors.forename: Adebola
authors.initials: A
authors.lastname: Olarewaju
authors.forename: Sunshine Weiss
authors.initials: SW
authors.lastname: Pooley
authors.forename: Priya
authors.initials: P
authors.lastname: Jegatheesan
authors.forename: Dongli
authors.initials: D
authors.lastname: Song
authors.forename: Balaji
authors.initials: B
authors.lastname: Govindaswami
mesh_terms: D015331:Cohort Studies; D005260:Female; D018575:Home Care Services, Hospital-Based / Q000706:statistics & numerical data*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D019300:Medical Errors / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data; D011181:Postnatal Care / Q000706:statistics & numerical data*; D011446:Prospective Studies