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Abstract <p>Neonatal vascular access (VA) is a critical component of neonatal intensive care. However, VA remains a high-risk procedure associated with pain and serious complications. Despite the availability of evidence-based guidelines, variability in practice persists, leading to inconsistent patient outcomes. A standardized, patient-centered approach could enhance patient safety, experience, and outcomes. The ‘7-Rights Framework for Neonatal VA’ emerged through international expert consensus. This framework uses the concept of patient rights, the ‘7-Rights’ - Right Patient, Right Care Team, Right Comfort Measures, Right VA Device, Right Blood Vessel, Right Care of the Infusion and Device, and Right Therapy Duration and Device Removal to integrate best evidence-based practice, ethical considerations, and family involvement. Recognizing the need for a standardized approach to VA and simultaneously considering individual needs, the framework readily provides guiding principles for developing individualized Vascular Access Management Plans (VAMP). In addition to proposing the 7-Rights framework, this article advocates for its operationalization in a VAMP that encompasses the entire VA process, from planning, device selection, insertion, maintenance, monitoring, and quality control. A VAMP based on the 7-Rights framework has the potential to individualize VA care, improve consistency, enhance patient safety, and facilitate quality improvement initiatives.</p> Impact <p>Key message<UnorderedList Mark="Bullet"> <ItemContent> <p>Introduces the 7-Rights Framework as a structured, patient-centered model to guide neonatal vascular access (VA) decisions.</p> </ItemContent> </UnorderedList></p> <p>What it adds<UnorderedList Mark="Bullet"> <ItemContent> <p>Translates human rights principles into clinical VA practice, integrating ethical standards and family involvement.</p> </ItemContent> <ItemContent> <p>Proposes the use of individualized Vascular Access Management Plans (VAMPs) to operationalize the framework.</p> </ItemContent> </UnorderedList></p> <p>Impact<UnorderedList Mark="Bullet"> <ItemContent> <p>Addresses current gaps in standardization, safety, and consistency across NICUs.</p> </ItemContent> <ItemContent> <p>Provides a universal guide to support clinicians in reducing complications and improving neonatal outcomes.</p> </ItemContent> </UnorderedList></p>

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Enhancing neonatal vascular access: proposing a patient-centered framework based on 7-Rights

  • 期刊论文

  • 发表日期：

    2025年10月22日

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  • Matheus F. P. T. van Rens,
  • Kevin Hugill,
  • Robin van der Lee,
  • Fiammetta Piersigilli,
  • Bernhard Schwaberger,
  • Silke Mader,
  • Agnes van den Hoogen

摘要

Abstract

Neonatal vascular access (VA) is a critical component of neonatal intensive care. However, VA remains a high-risk procedure associated with pain and serious complications. Despite the availability of evidence-based guidelines, variability in practice persists, leading to inconsistent patient outcomes. A standardized, patient-centered approach could enhance patient safety, experience, and outcomes. The ‘7-Rights Framework for Neonatal VA’ emerged through international expert consensus. This framework uses the concept of patient rights, the ‘7-Rights’ - Right Patient, Right Care Team, Right Comfort Measures, Right VA Device, Right Blood Vessel, Right Care of the Infusion and Device, and Right Therapy Duration and Device Removal to integrate best evidence-based practice, ethical considerations, and family involvement. Recognizing the need for a standardized approach to VA and simultaneously considering individual needs, the framework readily provides guiding principles for developing individualized Vascular Access Management Plans (VAMP). In addition to proposing the 7-Rights framework, this article advocates for its operationalization in a VAMP that encompasses the entire VA process, from planning, device selection, insertion, maintenance, monitoring, and quality control. A VAMP based on the 7-Rights framework has the potential to individualize VA care, improve consistency, enhance patient safety, and facilitate quality improvement initiatives.

Impact

Key message

Introduces the 7-Rights Framework as a structured, patient-centered model to guide neonatal vascular access (VA) decisions.

What it adds

Translates human rights principles into clinical VA practice, integrating ethical standards and family involvement.

Proposes the use of individualized Vascular Access Management Plans (VAMPs) to operationalize the framework.

Impact

Addresses current gaps in standardization, safety, and consistency across NICUs.

Provides a universal guide to support clinicians in reducing complications and improving neonatal outcomes.