Example of the pop-up interruptive alert notifying clinicians that there were two or more medications on hold -- copyright 2025 Epic Systems Corporation

NEW: Transitioning Ineffective Medications on Hold Alert from Interruptive to Noninterruptive Alert to Decrease #AlertBurden
www.thieme-connect.de/products/ejo...

#MedSky #AdministrativeBurden #DigitalHealth @lindseyknake.bsky.social

Outcomes of Infants Born at 21 Weeks’ Gestational Age This case series presents survival and morbidity outcomes for infants born alive and resuscitated at 21 weeks’ gestational age at a center that attempts resuscitation in selected cases.

So proud to be at @uiowaalumni.bsky.social where we just reported 6 neonates born at 21 weeks have survived to discharge with good respiratory and neurological outcomes thus far. We are continuing to try to advance care of infants when we can! #neotwitter
jamanetwork.com/journals/jam...

Iowa boy born at 21 weeks is now the world's most premature baby The world's most premature baby born at UI Health Care Stead Family Children's Hospital. Born at 133 days premature, Nash Keen is the new Guinness World Records title holder for the most premature bab...

Beautiful story of a family that we gave a chance and saved their 21 w 0d infant. So proud that we can continue pushing boundaries and making families dreams come true! #Neotwitter @nicupodcast.bsky.social
uihc.org/childrens/pa...

Caring for the most extremely immature infants There have been multiple publications concerning this issue recently, many from the tiny baby collaborative. The first 2 publications are about the overall approach to providing intensive care at e…

Love this quote "we owe it to the families to try with a dedicated team who believes in these babies". Survival at 22 weeks is not a myth! And I've seen that you can do it without morphine and phenobarb to improve neurodevelopmental outcomes! #Neotwitter
neonatalresearch.org/2025/05/29/c...

Successful first Hackathon in Chicago! So fun to have access to multidisciplinary notes and structured EHR data to come up with an innovative solution! #informatics #EHR #neotwitter

I agree this is a great article about changing the expectations in medicine to decrease burnout! Also talks about reducing service time for maternity and medical! So important to get everyone on the same page!

Young Investigator: Lindsey Knake, MD Harnessing AI to help the most fragile newborns

Proud of this young investigator spotlight! Lots of work to do!

“How do we implement AI so clinicians trust these algorithms and can use them to augment—but not completely replace—their decision-making? That’s where I foresee the next frontier of AI research.”

medicineiowa.org/spring-2025/...

Learn how to improve your clinical decision support at PAS! Join our session! @neomindai.bsky.social

Just a reminder that this is happening this week! Join if you can!

this looks like it could be useful

Evaluating decision regret after extremely preterm birth - PubMed NCT04074525.

Loved the @nicupodcast.bsky.social episode on decision regret in ELBW. We had a 21 weeker that after 3 counseling sessions with family they decided to resuscitate. Baby didn't survive but they cherished the moments they had. Shared decision making always best!
pubmed.ncbi.nlm.nih.gov/39164062/

👶💻 Calling all #NeoTwitter
Get the BEST Epic tips for your NICU workflows straight from the experts 👩‍⚕️🧑‍💻
Join Dr. Lindsey Knake + Epic Team for a power-packed webinar on current tips and future vision!
📅 April 17, 2025
🕛 12–1 PM CT
userweb.epic.com/Webinar/View...

At Iowa we now offer a CI fellowship for those interested after residency. As technology and AI continue to integrate more into medicine this is becoming extremely important! There are even options for combined fellowships! Message if interested!

Bilirubin is Bad for the Brain! Who knew? We have known for a very long time that bilirubin can cause an encephalopathy leading to acute and chronic clinical impacts, the most severe chronic impacts being kernicterus, a disabling movement …

Interesting discussion on Bilirubin and the debate on if antioxidant effect is helpful or bilirubin is harmful especially in the tiniest babies. At Iowa we choose the more aggressive approach of starting phototherapy at 5 for <1000g babies.
neonatalresearch.org/2025/02/04/b...

Changes in Patent Ductus Arteriosus Management and Outcomes in Infants Born at 26 to 28 Weeks’ Gestation To investigate the association between the secular decrease in treatment of patent ductus arteriosus (PDA ) and trends in neonatal mortality and morbidity in infants born at 26 0/7 to 28 6/7 weeks’ ge...

I just came off a week of service and I can tell the difference in lung disease in infants exposed to the PDA and those who aren't. Now there is some evidence to back this up! Interesting article! www.jpeds.com/article/S002...

So proud to be a part of this group @neomindai.bsky.social Get excited about our next @pas2025.bsky.social pre-conference session. Look for the Friday pre-conference session!

Back at my alma mater the University of Iowa as a Neonatologist and Associate Chief Health Information Officer for pediatrics. Excited to advance informatics research in the areas of mechanical ventilation, neonatology, and pediatrics! #medtwitter #Hawkeye #informatics #NeoTwitter