{"id":"https://openalex.org/W7160056982","doi":"https://doi.org/10.1038/s41372-026-02710-0","title":"Timely administration of antibiotics for neonatal sepsis in the neonatal intensive care unit: A quality improvement initiative","display_name":"Timely administration of antibiotics for neonatal sepsis in the neonatal intensive care unit: A quality improvement initiative","publication_year":2026,"publication_date":"2026-05-04","ids":{"openalex":"https://openalex.org/W7160056982","doi":"https://doi.org/10.1038/s41372-026-02710-0","pmid":"https://pubmed.ncbi.nlm.nih.gov/42082624","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13731131"},"language":"en","primary_location":{"id":"doi:10.1038/s41372-026-02710-0","doi":"https://doi.org/10.1038/s41372-026-02710-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02710-0","pdf_url":"https://www.nature.com/articles/s41372-026-02710-0.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.nature.com/articles/s41372-026-02710-0.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027516191","display_name":"Harjinder Singh","orcid":"https://orcid.org/0009-0005-7425-637X","observed_orcids":["https://orcid.org/0009-0005-7425-637X"]},"institutions":[{"id":"https://openalex.org/I4210104294","display_name":"Pomona Valley Hospital Medical Center","ror":"https://ror.org/01a05a579","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104294"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Harjinder P Singh","raw_affiliation_strings":["Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA. harjinder.singh@pvhmc.org"],"raw_orcid":"https://orcid.org/0009-0005-7425-637X","affiliations":[{"raw_affiliation_string":"Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA. harjinder.singh@pvhmc.org","institution_ids":["https://openalex.org/I4210104294"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135229361","display_name":"Sheri Landazuri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104294","display_name":"Pomona Valley Hospital Medical Center","ror":"https://ror.org/01a05a579","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104294"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sheri Landazuri","raw_affiliation_strings":["Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA","institution_ids":["https://openalex.org/I4210104294"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5135114318","display_name":"Susan Wilkinson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210104294","display_name":"Pomona Valley Hospital Medical Center","ror":"https://ror.org/01a05a579","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104294"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Wilkinson","raw_affiliation_strings":["Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, CA, USA","institution_ids":["https://openalex.org/I4210104294"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5027516191"],"corresponding_institution_ids":["https://openalex.org/I4210104294"],"apc_list":{"value":4790,"currency":"USD","value_usd":4790},"apc_paid":{"value":4790,"currency":"USD","value_usd":4790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"46","issue":"11","first_page":"2211","last_page":"2215"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.9409000277519226,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11961","display_name":"Neonatal and Maternal Infections","score":0.9409000277519226,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.012900000438094139,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11000","display_name":"Infection Control in Healthcare","score":0.007899999618530273,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neonatal-sepsis","display_name":"neonatal sepsis","score":0.9959999918937683},{"id":"https://openalex.org/keywords/timing-of-antibiotic-administration","display_name":"timing of antibiotic administration","score":0.7910000085830688},{"id":"https://openalex.org/keywords/neonatal-intensive-care-unit","display_name":"neonatal intensive care unit","score":0.9129999876022339},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.8550000190734863},{"id":"https://openalex.org/keywords/order-sets","display_name":"order sets","score":0.6869999766349792},{"id":"https://openalex.org/keywords/employee-training","display_name":"employee training","score":0.9269999861717224},{"id":"https://openalex.org/keywords/time-to-treatment","display_name":"time to treatment","score":0.41499999165534973}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9578999876976013},{"id":"https://openalex.org/C2775953899","wikidata":"https://www.wikidata.org/wiki/Q6993495","display_name":"Neonatal sepsis","level":3,"score":0.7307000160217285},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.6380000114440918},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.5863000154495239},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.5360000133514404},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.49950000643730164},{"id":"https://openalex.org/C2780765947","wikidata":"https://www.wikidata.org/wiki/Q12033531","display_name":"Administration (probate law)","level":2,"score":0.4896000027656555},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.478300005197525},{"id":"https://openalex.org/C2777091541","wikidata":"https://www.wikidata.org/wiki/Q9008292","display_name":"Neonatal intensive care unit","level":2,"score":0.4523000121116638},{"id":"https://openalex.org/C536800656","wikidata":"https://www.wikidata.org/wiki/Q898674","display_name":"Neonatology","level":3,"score":0.4383000135421753},{"id":"https://openalex.org/C2781452722","wikidata":"https://www.wikidata.org/wiki/Q9386039","display_name":"Neonatal infection","level":3,"score":0.3896999955177307},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.34459999203681946},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.30309998989105225},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.2985999882221222},{"id":"https://openalex.org/C2779083892","wikidata":"https://www.wikidata.org/wiki/Q6692979","display_name":"Low birth weight","level":3,"score":0.28220000863075256},{"id":"https://openalex.org/C2778376644","wikidata":"https://www.wikidata.org/wiki/Q2253111","display_name":"Gestational age","level":3,"score":0.2797999978065491},{"id":"https://openalex.org/C3019760594","wikidata":"https://www.wikidata.org/wiki/Q2781245","display_name":"Neonatal mortality","level":4,"score":0.26930001378059387}],"mesh":[{"descriptor_ui":"D000071074","descriptor_name":"Neonatal Sepsis","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D000096182","descriptor_name":"Treatment Delay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007363","descriptor_name":"Intensive Care Units, Neonatal","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1038/s41372-026-02710-0","doi":"https://doi.org/10.1038/s41372-026-02710-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02710-0","pdf_url":"https://www.nature.com/articles/s41372-026-02710-0.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13731131","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731131/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13731131/pdf/41372_2026_Article_2710.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Perinatol","raw_type":"Text"},{"id":"pmid:42082624","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42082624","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of perinatology : official journal of the California Perinatal Association","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1038/s41372-026-02710-0","doi":"https://doi.org/10.1038/s41372-026-02710-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02710-0","pdf_url":"https://www.nature.com/articles/s41372-026-02710-0.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7160056982.pdf","grobid_xml":"https://content.openalex.org/works/W7160056982.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1999030169","https://openalex.org/W2035387676","https://openalex.org/W2090212074","https://openalex.org/W2119347566","https://openalex.org/W2126160321","https://openalex.org/W2167696296","https://openalex.org/W2172274719","https://openalex.org/W2528193592","https://openalex.org/W2590538937","https://openalex.org/W2619168870","https://openalex.org/W2803289677","https://openalex.org/W2979491027","https://openalex.org/W3004427938","https://openalex.org/W3012439392","https://openalex.org/W3021334366","https://openalex.org/W3188214332","https://openalex.org/W3197271546","https://openalex.org/W4206420465","https://openalex.org/W4245638620","https://openalex.org/W4280648953","https://openalex.org/W4308769339"],"related_works":["https://openalex.org/W2956063666","https://openalex.org/W2126160321","https://openalex.org/W3188214332","https://openalex.org/W3012439392","https://openalex.org/W7117415932","https://openalex.org/W7010412853","https://openalex.org/W7140177081","https://openalex.org/W4313453354","https://openalex.org/W3140169389","https://openalex.org/W3118386015"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"Improve":[2],"timely":[3],"administration":[4,124,144],"of":[5,67,86],"the":[6,11,44,76,138,147],"first":[7,80],"antibiotic":[8,63,81,141],"dose":[9,82],"in":[10,26,146],"neonatal":[12],"intensive":[13],"care":[14],"unit":[15],"(NICU)":[16],"through":[17],"a":[18,27,68,109],"quality":[19],"improvement":[20],"(QI)":[21],"initiative.":[22],"STUDY":[23],"DESIGN:":[24],"Conducted":[25],"53-":[28],"bed":[29],"NICU":[30,55],"over":[31,108,117],"3":[32,110],"years":[33],"involving":[34],"1094":[35],"neonates":[36],"who":[37],"received":[38],"antibiotics":[39,98],"for":[40,46,61],"suspected":[41],"sepsis.":[42],"Using":[43],"Institute":[45],"Healthcare":[47],"Improvement":[48],"(IHI)":[49],"methods,":[50],"three":[51],"interventions":[52],"were":[53],"made:":[54],"staff":[56],"education;":[57],"developed":[58],"order":[59,92,142],"sets":[60],"stat":[62],"doses":[64],"and":[65,88,113],"implementation":[66],"secure":[69],"code":[70],"medication":[71],"delivery":[72],"system.":[73],"Outcomes":[74],"included":[75],"infants":[77],"receiving":[78,97],"their":[79],"within":[83,99],"60":[84,100],"min":[85,101,128],"ordering":[87],"average":[89,121],"time":[90,122,139,145],"from":[91,103,126,140],"to":[93,106,123,129,143],"administration.":[94],"RESULTS:":[95],"Infants":[96],"improved":[102],"baseline":[104],"32.7%":[105],"84.4%":[107],"year":[111],"period":[112],"has":[114],"been":[115],"sustained":[116],"2":[118],"years.":[119],"The":[120],"decreased":[125,137],"93.3":[127],"44.7":[130],"min.":[131],"CONCLUSION:":[132],"A":[133],"systematic":[134],"multidisciplinary":[135],"approach":[136],"NICU.":[148]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-05-05T00:00:00"}
