PT  - JOURNAL ARTICLE
AU  - Colin Hamilton
AU  - Robert Phaal
AU  - Mita Brahmbhatt
AU  - Peter Jarritt
AU  - Topun Austin
TI  - Designing the landscape for technological development in neonatal neurocritical care
AID  - 10.1136/bmjinnov-2018-000288
DP  - 2018 Oct 01
TA  - BMJ Innovations
PG  - 163--171
VI  - 4
IP  - 4
4099  - http://innovations.bmj.com/content/4/4/163.short
4100  - http://innovations.bmj.com/content/4/4/163.full
SO  - BMJ Innov2018 Oct 01; 4
AB  - Objectives To identify current ‘gaps’ in clinical practice or therapeutic knowledge of the care of neonatal neurointensive care patients and to determine the impact healthcare technologies can have on improving outcomes.Design The Cambridge Institute for Manufacturing’s (IfM) roadmapping methodology.Setting Cambridge, UK.Participants 16 delegates were selected through professional networks. They provided coverage of academia and clinical skills, as well as expertise in neonatology, engineering and technology development.Main outcome measures A ‘strategic landscape’ has been developed with ‘landmarks’ identified as ‘trends or drivers’, ‘patient pathway experience and unmet needs’ and ‘enabling project or resources’. Priorities were voted on by delegates.Results 26 strategic ‘landmarks’ were identified, and of these 8 were considered ‘trends or drivers’, 8 ‘patient pathway experience and unmet needs’ and 10 as ‘enabling project or resources’. Of these, five priorities for the future of neonatal neurocritical care were identified by a voting process: real-time video monitoring for parents; individualised management of preterm infants in neonatal neurocritical care based on real-time multimodal monitoring; continuous electroencephalogram monitoring for early seizure diagnosis; neuroprotection: understanding basic mechanisms; and sleep measurement.Conclusions Through the use of the IfM methodology, a list of priorities has been developed for future work into improving the experience and possible outcomes of newborn infants with brain injuries and their families. While not an exhaustive list, it provides the beginning for a national conversation on the topic.