Critically Ill Neonates and Preterm Infants
Guided by a family-centered care philosophy, the neonatal nursing team at Linkou Chang Gung Memorial Hospital developed WINGS, a nationally leading smart continuum-of-care model for very low birth weight preterm infants. Through innovative, nurse-led system design and long-term implementation, the team has achieved significant improvements in workflow optimization, real-time risk alerts, and patient safety assurance.
Integrating antenatal preterm warning systems, immediate thermal protection and transfer support at admission, neonatal identification and integrated vital sign monitoring, closed-loop medication and transfusion management, nutrition feeding, family communication platforms, and post-discharge home care linkage, WINGS covers the entire continuum of preterm infant care. Each innovation reflects the close integration of nursing expertise and smart technology.
WINGS embodies the core values of Warmth, Instant, No-error,Gentle Care, and Stable, establishing a new milestone in smart nursing by improving the quality of preterm infant care, strengthening family trust, and enhancing care efficiency.
Application systems are designed and led by nursing professionals, based on the clinical risks and care workflows of preterm infants, to establish a smart continuum of care for very low birth weight preterm infants.
Smart systems replace complex manual tasks, improving efficiency and decision quality, and achieving three wins: baby safety, family reassurance, and staff workload reduction.
In 2024, the single-institution case volume of very low birth weight preterm infants (<1500 g) ranked first worldwide.
We are the first institution in Taiwan to implement attending physician–led home visits for extremely low birth weight preterm infants, with the highest annual enrollment nationwide (156 infants per year).
Catheter-related infection rate among very low birth weight preterm infants: 1.1‰.
Incidence of admission hypothermia (<36.5°C) among very low birth weight preterm infants: 11.9%.
From 2022 to 2024, the nursing team maintained zero care-related incidents for three consecutive years, including medication administration, blood transfusion, and line/tube care.
Zero patient safety events were reported.
Care satisfaction rate reached 97%.
System satisfaction rate reached 90%.
Awarded the highest-level HIMSS certification and full-score DHI certification, with WINGS Smart Continuum of Care selected as a key highlighted project.
WINGS adopts a modular design that allows phased implementation according to each hospital’s needs. The system has been successfully deployed across 11 hospitals within the healthcare system and 2 rural hospitals, establishing a standardized and replicable smart care model for extremely low birth weight preterm infants.
The extremely low birth weight preterm infant home-visit model developed by our institution has demonstrated outstanding effectiveness. Following on-site evaluation and recognition by the Health Promotion Administration, the Home Care Program for Low (including Extremely Low) Birth Weight Infants was promoted and incorporated as a national standard operating procedure.
