{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:35:19Z","timestamp":1772984119937,"version":"3.50.1"},"reference-count":8,"publisher":"SLACK, Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pediatr Ophthalmol Strabismus"],"published-print":{"date-parts":[[2017,11]]},"abstract":"\n Purpose:<\/jats:title>\n To report on the use of a cloud-based electronic medical record (ROP Check; Glacier Medical Software, Anchorage, AK) designed to provide American Academy of Pediatrics (AAP) guideline-adherent retinopathy of prematurity (ROP) care through the scheduling and documenting of ROP examinations.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Data analysis on 3,155 patients from a de-identified dataset from 13 neonatal intensive care units.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n All newborns with a gestational age of 22 to 30 weeks (N = 2,278) were entered with a documented ROP examination. Of those, 98% and 97.4% completed their initial and follow-up examinations, respectively, within AAP guidelines. All but 1 of 145 initial treatments were completed within AAP guidelines after a decision for treatment was made. Of 369 newborns older than 30 weeks' gestational age and with a birth weight of less than 1,500 grams, none progressed to treatment; four patients had stage 2 or 3 ROP. Of 508 newborns with a gestational age of 31 to 32 weeks and a birth weight of more than 1,500 grams who were entered to identify unstable newborns, 34% did not need examinations; of those who were examined, one progressed to treatment. Fourteen percent of patients were observed as outpatients before retinal maturity and 12% missed some or all outpatient appointments. A decision was made to treat at the first examination for 2 (10%) newborns with a gestational age of 22 weeks and 2 (2%) newborns with a gestational age of 23 weeks. Each patient was within the AAP guidelines for initial treatment.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n A computerized system specifically designed with process improvement and error-free delivery of ROP care as a focus can improve adherence to AAP guidelines and achieve superior results. Such a system creates a standardized and measurable safety net for pediatric ophthalmologists, neonatologists, hospitals, and follow-up pediatricians.<\/jats:p>\n \n \n [\n J Pediatr Ophthalmol Strabismus<\/jats:italic>\n . 2017;54(6):356\u2013362.]\n <\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3928\/01913913-20170329-04","type":"journal-article","created":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T18:33:24Z","timestamp":1504031604000},"page":"356-362","source":"Crossref","is-referenced-by-count":9,"title":["Toward Achieving 100% Adherence for Retinopathy of Prematurity Screening Guidelines"],"prefix":"10.3928","volume":"54","author":[{"given":"Robert W.","family":"Arnold","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zinnia","family":"Matrix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2996"},{"key":"e_1_3_1_3_2","first-page":"461","article-title":"Malpractice and the quality of care in retinopathy of prematurity (an American Ophthalmological Society thesis)","volume":"105","author":"Reynolds JD","year":"2007","unstructured":"Reynolds JD. Malpractice and the quality of care in retinopathy of prematurity (an American Ophthalmological Society thesis). Trans Am Ophthalmol Soc. 2007;105:461\u2013480.","journal-title":"Trans Am Ophthalmol Soc"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.04.020"},{"key":"e_1_3_1_5_2","unstructured":"Nightingale Internet Reporting System. Vermont Oxford Network Web site. https:\/\/nightingale.vtoxford.org. Published: 2012."},{"key":"e_1_3_1_6_2","unstructured":"Perinatal and Reproductive Health 2015\u20132016. National Quality Forum Web site. https:\/\/www.qualityforum.org\/Publications\/2016\/12\/Perinatal_and_Reproductive_Health_2015-2016_Final_Report.aspx. Published: December 2016."},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20120710-01"},{"key":"e_1_3_1_8_2","unstructured":"OMIC ROP Safety Net. Ophthalmic Mutual Insurance Company Web site. https:\/\/www.omic.com\/rop-safety-net\/. Updated: April 4 2016"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.11.003"}],"container-title":["Journal of Pediatric Ophthalmology & Strabismus"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.healio.com\/doiresolver?doi=10.3928\/01913913-20170329-04","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T23:17:20Z","timestamp":1683069440000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01913913-20170329-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.3928\/01913913-20170329-04"],"URL":"https:\/\/doi.org\/10.3928\/01913913-20170329-04","relation":{},"ISSN":["0191-3913","1938-2405"],"issn-type":[{"value":"0191-3913","type":"print"},{"value":"1938-2405","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11]]}}}