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NURS FPX 6214 Assessment 3 Implementation Plan

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Implementation Plan

An essential road map for carrying out a complicated project like Vila Hospital’s integration of EHR-based telehealth technologies is the implementation strategy. A coordinated effort from several departments, including IT, clinical staff, administrative staff, and maybe patient advocates, is needed for this program. A well-thought-out plan guarantees a seamless transition and reduces interference with continuing business activities.

Handling Medication Mistakes: Research has indicated that prescription mistakes resulting from a lack of connectivity with electronic health records (EHRs) can be a major drawback of existing telehealth technologies. This emphasizes how crucial the planned EHR integration is, as it may drastically lower medication mistakes by giving doctors instant access to a patient’s whole medical history, including allergies, prescriptions currently being taken, and any drug interactions  (M.Y. Williams-Brown et al., 2024). The Advantages of EHR Integration: There are several benefits to integrating telehealth and EHRs beyond only lowering prescription mistake rates. Among these benefits is: Better coordination of care: During telehealth consultations, clinicians have access to the patient’s medical record, which helps them make better judgments and offer more thorough treatment.

Improved management of chronic diseases: The EHR may incorporate real-time data from remote monitoring devices, enabling closer observation of chronic disorders and prompt modifications to treatment schedules. Enhanced patient involvement: Patients may get their medical records through patient portals, encouraging a more proactive approach to maintaining their health. Vila Hospital can guarantee a successful integration of EHR-based telehealth technology by putting in place a thorough strategy that takes these important factors into account. This will eventually result in better patient care, fewer prescription mistakes, and a more effective healthcare delivery system. IT Department: In charge of making sure the telemedicine solution and Vila Hospital’s current EHR system are technically compatible. This might entail data migration, system configuration, and continuous maintenance. Clinical Staff: Medical professionals, nurses, and other clinical staff members can offer priceless advice on workflow issues and training requirements.

Their support is essential for the new system’s effective implementation since they will be directly influenced by it. Administrative Staff: The duties performed by administrative staff members include keeping track of patient information, organizing telehealth appointment schedules, and handling insurance claims for telehealth services. Patients: When it comes to the telehealth system’s accessibility and ease of use, patient reps can provide insightful comments. Incorporating patients into the planning phase can guarantee that the system fulfills their requirements. Good communication is critical to the implementation process. Provide regular updates to stakeholders on the status of the project, respond to any issues, and request input. A well-thought-out change management plan can lessen employee opposition to the new telehealth EHR system and facilitate staff transitions.

Vila Hospital may effectively incorporate EHR-based telehealth technology by adhering to a well-structured implementation strategy with defined roles and responsibilities. In addition to increasing patient comfort and access to care, this will also increase operational effectiveness and perhaps lower healthcare costs. The system will continue to satisfy Vila Hospital’s and its patients’ changing demands thanks to the continuous monitoring and assessment procedure (Walden et al., 2024).

Evaluating the Adequacy of Existing Telehealth Technology Infrastructure in an Organization or Practice Setting

Retention is a crucial phase in orthodontic treatment, as teeth have a natural tendency to shift back toward their original positions after braces are removed. Recent research suggests that relapse rates can be as high as 50% without proper retention. This highlights the importance of understanding current practices and identifying factors that influence orthodontists’ choices when it comes to retention protocols. Methods:  An online validated questionnaire was anonymously sent to 3,000 orthodontic residents and clinicians.

The survey consisted of 19 questions regarding the participants’ demographics, prescribed retention appliances, factors affecting retention appliance choices, and adjunctive retention procedures. Define Requirements: Hold discussions with relevant parties to pinpoint the precise requirements and features that the telehealth EHR system must have. Vendor Selection: Look into and assess possible providers of telehealth electronic health records according to features, pricing, scalability, security, and compatibility (Park et al., 2020).

Create an Implementation Strategy: Make a thorough plan that includes the schedule, finances, resources, roles, and duties of every department involved. Perform a Feasibility Assessment by examining the risks and obstacles that the integration project may present. Contract Negotiation: Agree on terms with the telehealth EHR provider of your choice. System Procurement and Installation: Comply with the vendor’s requirements while purchasing and installing the telehealth EHR hardware and software. System Setup and Integration: Set up the telehealth EHR system such that it easily connects with the current EHR system at Vila Hospital.

Data mapping and guaranteeing a safe flow of patient information may be necessary for this. System Testing: To guarantee functionality, security, and data correctness, thoroughly test the integrated telehealth EHR system. Create Instructional Resources: Provide personnel with programs and training materials to help them use the new telehealth EHR system efficiently. User Training: Hold training sessions covering features, processes, data security best practices, and troubleshooting techniques for all pertinent staff members. Pilot Testing: Before a full rollout, think about doing a pilot launch with a small number of patients or a particular department to find and fix any possible problems. Get Input: Before the broader rollout, get input from pilot participants to improve the training materials and system. Complete System Launch: Assign all staff members and departments to the telehealth EHR system. Ongoing help: Provide employees with continuous technical help and address any emerging problems.

NURS FPX 6214 Assessment 3 Implementation Plan

Monitor and Assess: Keep a close eye on patient outcomes, user adoption rates, and system performance. Make Adjustments: Modify the system, training materials, or processes as necessary in light of the findings of monitoring and assessment. Compatibility: Determine whether the prospective telehealth solution is compatible with the current (Electronic Health Record) systems and other software. Incompatible systems might lead to substantial data silos and impede the easy sharing of information. Hardware Infrastructure: Determine if the PCs, internet bandwidth, and video conferencing equipment currently in use are enough.

Devices with high-quality video and audio transmission capabilities and dependable internet access are necessary for telehealth consultations. Features of Security: Safety comes first. Evaluate the security measures in place to protect patient privacy and sensitive data. HIPAA compliance requires the use of encryption, access restrictions, and data breach prevention techniques. ow Integration: Organizing and Managing Appointments Think about the integration of telehealth appointments with current scheduling systems. Is it simple for patients to make online appointments for telehealth? Can employees handle both in-person and virtual visits with efficiency? Staff Workflow Changes: Workflows may be streamlined via telehealth, but new requirements may also arise. Determine how the current processes for clinical staff, administrative staff, and receptionists will be affected by telehealth consultations.

Record-keeping and Documentation: Assess the degree to which the new telehealth system will be integrated with existing documentation procedures. Is it simple for physicians to record telehealth consultations in the electronic health record? Are protocols in place to safely store recordings from telehealth services? Patient Access and Usability: Is it easy for patients with different technological skills to utilize the telehealth platform? Can patients use a variety of devices, such as laptops, tablets, and cellphones, to access consultations? When assisting patients who might require technological help, think about providing it. Employee Assistance and Training: Employees will need instruction on how to use the new telehealth platform efficiently. Technical elements, processes, best practices for data protection, and troubleshooting techniques should all be included in the training. Patient Engagement: Evaluate how telemedicine might enhance patient involvement (Almuzian et al., 2024).

Task Assignment and Responsibility Allocation for Deploying New or Upgraded Telehealth Technology

 To find differences between the capabilities of the current infrastructure and the needs of the new telehealth solution, do a gap analysis. This will assist in figuring out how much improvements or modifications are required. Stakeholder Interviews: To get their opinions and concerns regarding telehealth integration, interview important stakeholders such as IT professionals, physicians, administrative staff, and maybe patients. Cost-Benefit Analysis: Compare the expected advantages of telehealth implementation such as enhanced patient access, higher efficiency, and possible cost savings with the possible expenses of doing so, such as software licensing, hardware upgrades, and training.

Methods of Evaluation: Organizations and practices may make well-informed judgments on their telehealth infrastructure by thoroughly assessing these criteria. Proactively addressing possible weaknesses can facilitate a seamless transition and optimize the potential advantages of telehealth for both staff and patients. At Vila Hospital, the IT department will be instrumental in the implementation of telehealth technology that is integrated with the EHR. The technical facets of the implementation phase, such as setting up and installing the gear and software needed to support the telehealth system, will fall within their purview.

It is crucial to guarantee a smooth integration with the current EHR system at Vila Hospital. Research indicates that a deficiency in telehealth and EHR system integration might result in data silos and impede clinicians’ access to vital patient data, which could jeopardize patient care. At Vila Hospital, the clinical staff is crucial to the use of EHR-integrated telehealth technologies. Their participation extends beyond just utilizing the updated system. Physicians may offer insightful advice on how to best incorporate telehealth consultations into current workflows to reduce interruption and increase productivity. Content Development: Their knowledge is essential for creating clinical guidelines and patient and staff education materials about best practices and telehealth procedures. User Training: During patient consultations, data collection, and documentation, clinicians can be crucial in teaching colleagues how to utilize the new telehealth system efficiently.

According to research, peer-to-peer training led by seasoned medical professionals can greatly increase the rate at which new technologies are adopted by users. Among the first to make use of the new telehealth technology will be the clinical staff. Their input is quite helpful in pinpointing areas that require enhancement and guaranteeing that the system fulfills their requirements for providing high-quality medical treatment. The clinical team can guarantee that the new telehealth system is easy to use, smoothly integrates with current workflows, and ultimately improves patient care delivery at Vila Hospital by actively engaging in the implementation process (Shalom et al., 2024).

Creating an Implementation Schedule for New or Upgraded Telehealth Technology

The vestibulocochlear implant, often referred to as a combined vestibular and cochlear implant device, is a potentially revolutionary advancement in the restoration of hearing and balance, two essential senses that can be compromised by inner ear disease. The vestibular nerve, which is essential for balance and spatial orientation, is electrically stimulated via vestibular implants. Bypassing damaged hair cells in the inner ear, cochlear implants send sound impulses straight to the auditory nerve, allowing the sense of hearing.

Currently under investigation is a new, improved prototype. Concurrent multichannel vestibular and cochlear stimulation is possible with this prototype. Though promising, previous research was short-term in nature, which limited their breadth. These investigations did demonstrate that in individuals with inner ear impairment, compensatory movements of the neck, torso, and eyes are made possible by stimulation. By examining the safety and effectiveness of sustained daily motion-modulated stimulation using a multichannel prototype. The trial seeks to overcome these constraints. More broadly applicable information on the long-term efficacy of regaining balance and enhancing patients’ quality of life with inner ear injury may be obtained from this extended research design.

Vila Hospital’s deployment of telehealth technology that is connected with EHRs is a complicated procedure that calls for a team effort from several medical specialists. It takes careful preparation and coordination across several departments, including IT, clinical staff, administrative staff, and maybe patient advocates, to integrate telehealth with electronic health records.

Research indicates that unclear planning and communication during implementation might cause workflow interruptions and user resistance, which can ultimately make telehealth programs less successful. Vila Hospital is working on a well-defined 12-month implementation timetable to guarantee a successful deployment. This comprehensive strategy delineates the principal tasks, benchmarks, and accountabilities of every department implicated. An organized timetable makes it easier to control expectations, guarantee that activities are completed on time, and reduce the possibility of delays or obstacles throughout the implementation process. Maintaining Success: Research shows that skipping post-deployment maintenance and assessment can cause system degradation, user angst, and eventually a drop in the use of telehealth programs.

Finding Opportunities for Improvement: Vila Hospital can collect information on system usage, user opinions, and key performance indicators such as appointment volumes, patient satisfaction ratings, and cost savings through a systematic review process. By analyzing this data, we can find areas for improvement, streamline processes, and make sure the telehealth system is providing the desired results. Proactive Maintenance: To address possible vulnerabilities and maintain optimal performance, a well-defined maintenance plan makes sure the system receives regular updates, bug fixes, and security patches (Shanmukha Mukthapuram et al., 2024).

Determining Staff Training Requirements and Strategies for New or Upgraded Telehealth Technology

Stroke survivors spend many hours sedentary throughout their recovery, but they still need to train a lot to gain functional improvements. This draws attention to a crucial obstacle in stroke rehabilitation. According to research, many stroke survivors find it difficult to continue participating in rehabilitative activities outside of scheduled therapy sessions, although repetitive practice is crucial for restoring motor skills and function. This may seriously impede their ability to heal fully. Targeted Training: Instructional materials have to be customized for various employee positions.

Physicians will require extensive training to do telehealth consultations, remotely evaluate patient data, and record findings in the electronic health record. It can be necessary for nurses to receive training on how to use telehealth features such as vital sign collecting, remote patient monitoring, and virtual consultation assistance. Training in patient portal management, telehealth appointment scheduling, and telehealth service invoicing may be required for administrative staff. Emphasis on Workflow Integration and Usability: Training should place a strong emphasis on how easily telehealth capabilities can be integrated into current processes and how user-friendly they are.

According to research, telehealth systems that are overly complicated or badly designed may irritate users and reduce uptake rates. Taking Care of Special Needs at Vila Hospital: Tailor training materials to any unique configurations or features put in place at Vila Hospital to make sure employees feel at ease utilizing the system in the hospital’s setting. Techniques of Training: Blended Learning Method: It might be beneficial to combine in-person training sessions with online programs. Online courses can offer fundamental information at a comfortable speed, but in-person instruction allows for practical experience, problem-solving, and answering specific questions.

Interactive Training Methods: To improve engagement and information retention, include interactive components such as role-playing exercises, simulations, and case studies. Ongoing Support: Give employees access to seasoned trainers and resources like online manuals, frequently asked questions, and help guides so they may handle any queries or difficulties that may come up after their initial training (Vermorken et al., 2024).

Developing a Strategy for Collaborating with Patients and Other Healthcare Providers :

Although a minimum level of computer literacy could be taken for granted, a pre-training evaluation can help to find any knowledge gaps and adjust the introduction modules accordingly. Encourage Honest Communication Promote open communication and address any apprehensions employees may have about picking up new skills or incorporating telehealth into their daily tasks.

Allocation of Resources: Make plans for the resources required to offer training efficiently. This might entail setting aside money for training supplies, the time of the instructors, and making sure that there is access to sufficient facilities and tools for training. Vila Hospital can effectively equip its personnel with the necessary knowledge and skills to confidently use the integrated telehealth EHR system and optimize its potential to enhance patient care delivery by carefully identifying the training needs of its staff and putting effective training methods into place.

For Villa Hospital to successfully implement the telehealth EHR system, a plan for working with patients and other healthcare providers must be developed. Research has indicated that the uptake and sustainability of telehealth programs depend on efficient collaboration among patients, healthcare providers, and institutions. Establishing a clear and well-defined plan for cooperation promotes trust, enhances patient participation, and guarantees a coordinated care delivery approach that cuts across institutional borders. The underlying presumptions and main components of this strategy are described in the paragraphs that follow.

Patient Education Resources: Provide easily understood resources (such as pamphlets, films, and web-based courses) that describe how to utilize the patient portal, the telehealth platform, and how to be ready for virtual consultations. According to research, people are more likely to accept the usage of telehealth if they have a clear grasp of its features and advantages. Instruction and Assistance: Provide patients with seminars or training sessions so they may become acquainted with the telehealth system and practice utilizing its capabilities.

To handle any technological issues patients could experience, think about offering technical assistance alternatives like a specialized help desk or online FAQs. Frequent correspondence: Keep lines of communication open with your patients. This might entail providing patients with information about telehealth services and responding to any queries they might have through newsletters, follow-up surveys, or appointment reminders. Vila Hospital may enable patients to actively participate in their telemedicine consultations by placing a high priority on patient education and engagement. This will eventually increase patient happiness and improve health outcomes (Iyer et al., 2021).

Creating a Post-Deployment Telehealth Technology Evaluation and Maintenance Strategy :

Vila Hospital may learn a great deal about how the telehealth EHR system affects patient care, operational effectiveness, and total return on investment. Strategy for Maintenance: To guarantee consistent peak performance, Vila Hospital has to develop a clear maintenance plan for the telehealth EHR system. Here are some crucial things to remember: Frequent System Updates: To preserve system functioning and address any vulnerabilities, put in place a procedure for deploying regular software updates, bug fixes, and security patches.

User Support: To solve any technological difficulties or respond to inquiries from staff members or patients, provide continuous user support resources, such as online help guides, FAQs, and access to skilled professionals. A thorough post-deployment assessment and maintenance plan is necessary once Vila Hospital’s integrated telehealth EHR system has been successfully implemented. This guarantees that the system will continue to provide the anticipated advantages and operate at peak efficiency throughout time.

After-Deployment Assessment: Vila Hospital may make use of a multifaceted assessment strategy to determine the efficacy of the telehealth EHR system, taking into account a range of key performance indicators (KPIs): Better Patient Outcomes: Monitor indicators such as ED visits, hospital readmission rates, and patient-reported health outcomes to assess if telemedicine consultations are assisting in better patient care and fewer issues. Utilize focus groups or surveys to gauge patient satisfaction with telemedicine consultations.

Enhanced Productivity: Track appointment wait times, both in-person and online, to determine whether telehealth is beneficial. shorten the time patients must wait. Analyze consultation times, the effectiveness of the documentation process, and the general workflow enhancements made possible by the telehealth system to assess staff productivity.Cost Savings: Examine possible financial savings linked to the use of telehealth, such as lowered patient travel expenses and a decreased requirement for follow-up in-person visits.

Take into account potential cost-saving measures, such as reduced staffing costs and overhead associated with conducting virtual consultations. User Contentment: Employee satisfaction with the telehealth EHR system’s usability, ease of integration with current workflows, and overall influence on their work processes should be gauged through surveys or interviews. Get input from patients about the telehealth platform’s usability, accessibility, and general level of satisfaction with virtual consultations.

Data Backup and Security: To protect sensitive patient data and guarantee system uptime in the event of unanticipated occurrences, maintain strong data backup and security policies. System Monitoring: Keep an eye on key performance indicators like as uptime, response times, and user activity to spot possible problems early and fix them before they cause problems with operations. User Feedback Integration: Set up systems to continuously gather input from personnel and patients.

When it comes to pinpointing problem areas and enhancing the telehealth EHR system to accommodate changing requirements, this input may be quite helpful. Vila Hospital can guarantee that its integrated telehealth EHR system stays a valued asset, promoting ongoing improvements in patient care delivery, staff satisfaction, and overall operational efficiency, by putting in place a thorough post-deployment assessment and maintenance strategy (Shareef et al., 2024).

NURS FPX 6214 Assessment 2: Conclusion

Vila Hospital is aware of the revolutionary possibilities that arise from combining telemedicine solutions with electronic health record (EHR) technology. Through this integration, access to healthcare services may be increased, operational effectiveness can be increased, and patient care can be improved. However, to guarantee patient safety and the highest possible standard of care, the effective use of this technology necessitates meticulous planning, teamwork, and filling up knowledge gaps.

Opportunities and Difficulties: Present Restrictions: Vila Hospital’s current telehealth infrastructure may have flaws that prevent it from providing all of its potential advantages. These constraints may be anything as simple as a lack of user-friendly interfaces for staff and patients, insufficient bandwidth for high-quality video conferencing, or problems with the EHR system (Gray et al., 2021). The Power of Integration: These constraints can be addressed by integrating telehealth with the EHR system. Informed clinical decision-making during virtual consultations is facilitated by the smooth interchange of patient data between platforms. Furthermore, the EHR can incorporate remote monitoring features, allowing for more precise surveillance of ongoing medical issues and prompt response.

Working Together Is Essential: Effective implementation requires a concerted effort from several stakeholders: IT Department: Ensuring technical compatibility between the telehealth solution and the current EHR system is a major responsibility of the IT department. They will be in charge of continuing maintenance, data security protocols, and system configuration. Clinical Teams: Medical professionals, nurses, and other clinical staff members provide priceless insights on clinical telehealth use cases and workflow integration.

Nurse Leaders: In terms of continuing support, change management, and staff training, nurse leaders are essential. They can encourage the nursing staff to utilize telehealth and make sure the technology is used effectively to improve patient care. Closing Knowledge Gaps: Vila Hospital has to solve the following knowledge gaps to guarantee successful implementation: Adoption of Telehealth: Research on user adoption and best practices for telehealth deployment may direct the creation of educational materials and outreach plans to motivate staff and patients to interact with the new technology. Effectiveness: It’s critical to assess how telehealth affects patient outcomes. Research on the effects of telehealth consultations on variables like as medication compliance, illness management, and patient satisfaction might help design telehealth initiatives that are customized to meet the requirements of individual patients.

Cost-Effectiveness: Recognizing the possible financial advantages of telehealth, including patient travel expenses and readmission rates that are lowered, can aid in securing funding for infrastructure and technological improvements. Legal and Regulatory Factors to Consider: Security and privacy of data are crucial. It is crucial to look into applicable laws and best practices for protecting patient data while conducting telehealth consultations. In summary, Vila Hospital may successfully traverse the route toward EHR-integrated telehealth adoption by recognizing the existing limits, encouraging collaboration among important stakeholders, and bridging knowledge gaps. This tactical move might revolutionize the way Vila Hospital provides patient care, boost productivity, and establish it as a leader in cutting-edge healthcare services (Chen et al., 2024).

NURS FPX 6214 Assessment 2: References

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Walden, H., Stevenson, E., Cadavero, A., & Seshadri, R. (2024). Implementation of the Caprini risk assessment model (RAM) in surgical patients to decrease postsurgical venous thromboembolism and enoxaparin prescription at hospital discharge. Journal of Vascular Nursing. https://www.sciencedirect.com/science/article/pii/S1062030323000961?via%3Dihub

Almuzian, M., Samer Mheissen, Khan, H., Alharbi, F., Emad Eddin Alzoubi, & Mark Brian Wertheimer. (2024). The Common Retention Practices Among Orthodontists from Different Countries. Turkish Journal of Orthodontics, 37(1), 22–29. https://turkjorthod.org/articles/doi/TurkJOrthod.2023.2022.179

Vermorken, B. L., Volpe, B., Stan, Joost, Marc van Hoof, Rik Marcellis, Loos, E., Alexander van Soest, McCrum, C., Meijer, K., Nils Guinand, Angélica Pérez Fornos, Vincent van Rompaey, Devocht, E., & Raymond. (2024). The VertiGO! Trial protocol: A prospective, single-center, patient-blinded study to evaluate the efficacy and safety of prolonged daily stimulation with a multichannel vestibulocochlear implant prototype in bilateral vestibulopathy patients. PloS One, 19(3), e0301032–e0301032. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0301032

Shanmukha Mukthapuram, Beth Ann Johnson, Slagle, C., Erickson, J., Kamath-Rayne, B. D., & Brady, J. M. (2024). Design and Implementation of a Didactic Curriculum in a Large Neonatal–Perinatal Medicine Fellowship Program: A Single-center Experience. American Journal of Perinatology. https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0044-1782599

Shareef, F., Balambal Bharti, Garcia-Bigley, F., Hernandez, M., Nodora, J., Liu, J., Ramers, C., Jill Dumbauld Nery, Marquez, J., Moyano, K., Rojas, S., Arredondo, E., & Gupta, S. (2024). Abnormal Colorectal Cancer Test Follow-Up: A Quality Improvement Initiative at a Federally Qualified Health Center. Journal of Primary Care & Community Health (Print), 15. https://journals.sagepub.com/doi/10.1177/21501319241242571

Chen, J., Tao, X., Xu, X., Sun, L., Huang, R., Azadeh Nilghaz, & Tian, J. (2024). Making commercial bracelets smarter with a biochemical button module. Biosensors and Bioelectronics, 116163–116163. https://www.sciencedirect.com/science/article/abs/pii/S0956566324001684?via%3Dihub

Shalom, T., Osnat Bashkin, Gamus, A., Yoram Blachar, Yaron, S., Netzer, D., Ayelet Nevet, & Lavie, G. (2024). Evaluation of Telephone Visits in Primary Care: Satisfaction of Pediatricians and Family Physicians and Their Perceptions of Quality of Care and Safety. Healthcare, 12(2), 212–212. https://www.mdpi.com/2227-9032/12/2/212

Iyer, S., Mehta, P., Weith, J., Hoang-Gia, D., Moore, J., Carlson, C., Choe, P., Sakai, E., & Gould, C. (2021). Converting a Geriatrics Clinic to Virtual Visits during COVID-19: A Case Study. Journal of Primary Care & Community Health, 12, 215013272110002. https://journals.sagepub.com/doi/10.1177/21501327211000235

Gray, M. M., Dadiz, R., Izatt, S., Gillam-Krakauer, M., Carbajal, M. M., Falck, A., Bonachea, E. M., Johnston, L., Karpen, H., Vasquez, M. M., Chess, P. R., & French, H. (2021). Value, Strengths, and Challenges of e-Learning Modules Paired with the Flipped Classroom for Graduate Medical Education: A Survey from the National Neonatology Curriculum. 38(S 01), e187–e192.https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0040-1709145

 

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