Does quality improvement work in neonatology improve clinical outcomes?

Current Opinion in Pediatrics

Volumn 29, Issue 2, 2017, Pages 129-134

  Ellsbury, Dan L ^a   Clark, Reese H ^a  

^a PEDIATRIX MEDICAL GROUP   (United States)

Author keywords

collaborative; neonatology; premature infant; quality improvement

Indexed keywords

NITRIC OXIDE;

CATHETER INFECTION; CLINICAL EFFECTIVENESS; CLINICAL OUTCOME; COST CONTROL; EXPOSURE; FEEDING BEHAVIOR; HEALTH CARE COST; HEALTH CARE QUALITY; HUMAN; LENGTH OF STAY; NECROTIZING ENTEROCOLITIS; NEONATAL ABSTINENCE SYNDROME; NEONATOLOGY; PROTOCOL COMPLIANCE; REVIEW; TOTAL QUALITY MANAGEMENT; FEMALE; MALE; NEONATAL INTENSIVE CARE UNIT; NEWBORN; NEWBORN INTENSIVE CARE; ORGANIZATION AND MANAGEMENT; OUTCOME ASSESSMENT; PREMATURITY; PROCEDURES; RISK ASSESSMENT; UNITED STATES;

FEMALE; HUMANS; INFANT, NEWBORN; INFANT, PREMATURE; INTENSIVE CARE UNITS, NEONATAL; INTENSIVE CARE, NEONATAL; MALE; NEONATOLOGY; OUTCOME ASSESSMENT (HEALTH CARE); QUALITY IMPROVEMENT; RISK ASSESSMENT; UNITED STATES;

EID: 85008391903     PISSN: 10408703     EISSN: 1531698X     Source Type: Journal    
DOI: 10.1097/MOP.0000000000000457     Document Type: Review

References (27)

1. Shah V, Warre R, Lee SK. Quality improvement initiatives in neonatal intensive care unit networks: Achievements and challenges. Acad Pediatr 2013; 13:S75-S83.
2. Payne NR, Finkelstein MJ, Liu M, et al. NICU practices and outcomes associated with 9 years of quality improvement collaboratives. Pediatrics 2010; 125:437-446.
3. Ellsbury DL, Clark RH, Ursprung R, et al. A multifaceted approach to improving outcomes in the NICU: The pediatrix 100 000 babies campaign. Pediatrics 2016; 137:. doi: 10.1542/peds.2015-0389-Epub.
4. Lee SK, Aziz K, Singhal N, Cronin CM. The Evidence-based Practice for Improving Quality method has greater impact on improvement of outcomes than dissemination of practice change guidelines and quality improvement training in neonatal intensive care units. Paediatr Child Health 2015; 20:e1-e9.
5. Walsh M, Laptook A, Kazzi SN, et al., National Institute of Child Health and Human Development Neonatal Research Network. A cluster-randomized trial of benchmarking and multimodal quality improvement to improve rates of survival free of bronchopulmonary dysplasia for infants with birth weights of less than 1250 grams. Pediatrics 2007; 119:876-890.
6. Ellsbury DL, Ursprung R. A primer on quality improvement methodology in neonatology. Clin Perinatol 2010; 37:87-99.
7. Smith PB, Ambalavanan N, Li L, et al., Generic Database Subcommittee; Eunice Kennedy Shriver National Institute of Child Health Human Development Neonatal Research Network. Approach to infants born at 22 to 24 weeks gestation: relationship to outcomes of more-mature infants. Pediatrics 2012; 129:e1508-e1516.
8. Rysavy MA, Li L, Bell EF, et al., Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Between-hospital variation in treatment and outcomes in extremely preterm infants. N Engl J Med 2015; 372:1801-1811.
9. Stoll BJ, Hansen NI, Bell EF, et al., Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Trends in care practices, morbidity, and mortality of extremely preterm neonates, 1993-2012. JAMA 2015; 314:1039-1051.
10. Massaro AN, Murthy K, Zaniletti I, et al., Childrens Hospital Neonatal Consortium. Intercenter cost variation for perinatal hypoxic-ischemic encephalopathy in the era of therapeutic hypothermia. J Pediatr 2016; 173:76.e1-83.e1.
11. Bowen JR, Callander I, Richards R, Lindrea KB; Sepsis Prevention in NICUs Group. Decreasing infection in neonatal intensive care units through quality improvement. Arch Dis Child Fetal Neonatal Ed 2017; 102:F51-F57.
12. Shepherd EG, Kelly TJ, Vinsel JA, et al. Significant reduction of central-line associated bloodstream infections in a network of diverse neonatal nurseries. J Pediatr 2015; 167:41.e1-3-46.e1-3.
13. McMullan R, Gordon A. Impact of a central line infection prevention bundle in newborn infants. Infect Control Hosp Epidemiol 2016; 37:1029-1036.
14. Erdei C, McAvoy LL, Gupta M, et al. Is zero central line-Associated bloodstream infection rate sustainable? A 5-year perspective. Pediatrics 2015; 135:e1485-e1493.
15. Piazza AJ, Brozanski B, Provost L, et al. SLUG bug: quality improvement with orchestrated testing leads to NICU CLABSI reduction. Pediatrics 2016; 137.
16. Campbell BT, Herbst KW, Briden KE, et al. Inhaled nitric oxide use in neonates with congenital diaphragmatic hernia. Pediatrics 2014; 134:e420-e426.
17. Truog WE, Nelin LD, Das A, et al., NICHD Neonatal Research Network. Inhaled nitric oxide usage in preterm infants in the NICHD neonatal research network: inter-site variation and propensity evaluation. J Perinatol 2014; 34:842-846.
18. Ellsworth MA, Harris MN, Carey WA, et al. Off-label use of inhaled nitric oxide after release of NIH consensus statement. Pediatrics 2015; 135:643-648.
19. Elmekkawi A, More K, Shea J, et al. Impact of stewardship on inhaled nitric oxide utilization in a neonatal ICU. Hosp Pediatr 2016; 6:607-615.
20. Clark RH, Gordon P, Walker WM, et al. Characteristics of patients who die of necrotizing enterocolitis. J Perinatol 2012; 32:199-204.
21. Martin CR, Dammann O, Allred EN, et al. Neurodevelopment of extremely preterm infants who had necrotizing enterocolitis with or without late bacteremia. J Pediatr 2010; 157:751.e1-756.e1.
22. Alshaikh B, Kostecky L, Blachly N, Yee W. Effect of a quality improvement project to use exclusive mothers own milk on rate of necrotizing enterocolitis in preterm infants. Breastfeed Med 2015; 10:355-361.
23. Talavera MM, Bixler G, Cozzi C, et al. Quality improvement initiative to reduce the necrotizing enterocolitis rate in premature infants. Pediatrics 2016; 137.
24. Jadcherla SR, Dail J, Malkar MB, et al. Impact of process optimization and quality improvement measures on neonatal feeding outcomes at an all-referral neonatal intensive care unit. JPEN J Parenter Enteral Nutr 2016; 40:646-655.
25. Asti L, Magers JS, Keels E, et al. A quality improvement project to reduce length of stay for neonatal abstinence syndrome. Pediatrics 2015; 135:e1494-e1500.
26. Patrick SW, Schumacher RE, Horbar JD, et al. Improving care for neonatal abstinence syndrome. Pediatrics 2016; 137:.
27. Johnson TJ, Patel AL, Jegier BJ, et al. Cost of morbidities in very low birth weight infants. J Pediatr 2013; 162:243.e1-249.e1.