Variation in performance of neonatal intensive care units in the United States

JAMA Pediatrics

Volumn 171, Issue 3, 2017, Pages

  Horbar, Jeffrey D ^a,b   Edwards, Erika M ^a,c   Greenberg, Lucy T ^a   Morrow, Kate A ^a   Soll, Roger F ^a,b   Buus Frank, Madge E ^a   Buzas, Jeffrey S ^a,d  

^a VERMONT OXFORD NETWORK   (United States)

^b UNIVERSITY OF VERMONT   (United States)

^c Dartmouth College ^*  (United States)

^d DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BACTERIUM CULTURE; BRAIN HEMORRHAGE; BRAIN VENTRICLE PERITONEUM SHUNT; CHRONIC LUNG DISEASE; DEATH; DISEASE SEVERITY; ESOPHAGUS ATRESIA; GESTATIONAL AGE; HEALTH CARE QUALITY; HEART CATHETERIZATION; HEART SURGERY; HOSPITAL DISCHARGE; HUMAN; INFANT; INFECTION; MAJOR CLINICAL STUDY; MORBIDITY; NECROTIZING ENTEROCOLITIS; NEONATAL INTENSIVE CARE UNIT; NEWBORN; NEWBORN SURGERY; NUCLEAR MAGNETIC RESONANCE IMAGING; OMPHALOCELE; OXYGEN THERAPY; PATENT DUCTUS ARTERIOSUS; PNEUMATOSIS INTESTINALIS; PRIORITY JOURNAL; RETROLENTAL FIBROPLASIA; STAPHYLOCOCCUS; STAPHYLOCOCCUS INFECTION; TOTAL QUALITY MANAGEMENT; TRACHEOESOPHAGEAL FISTULA; UNITED STATES; X-RAY COMPUTED TOMOGRAPHY; BAYES THEOREM; FEMALE; INFANT MORTALITY; INFANT, PREMATURE, DISEASES; MALE; PREMATURITY; STANDARDS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

BAYES THEOREM; FEMALE; HUMANS; INFANT; INFANT MORTALITY; INFANT, NEWBORN; INFANT, PREMATURE; INFANT, PREMATURE, DISEASES; INTENSIVE CARE UNITS, NEONATAL; LOGISTIC MODELS; MALE; UNITED STATES;

EID: 85015217033     PISSN: 21686203     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamapediatrics.2016.4396     Document Type: Article

References (47)

1. Horbar JD, Badger GJ, Carpenter JH, et al; Members of the Vermont Oxford Network. Trends in mortality and morbidity for very low birth weight infants, 1991-1999. Pediatrics. 2002;110(1, pt 1): 143-151.
2. Horbar JD, Carpenter JH, Badger GJ, et al. Mortality and neonatal morbidity among infants 501 to 1500 grams from 2000 to 2009. Pediatrics. 2012;129(6):1019-1026.
3. 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(10):1039-1051.
4. Vermont Oxford Network. https://nightingale .vtoxford.org. Accessed July 25, 2016.
5. Schmidt B, Asztalos EV, Roberts RS, Robertson CM, Sauve RS, Whitfield MF; Trial of Indomethacin Prophylaxis in Preterms (TIPP) Investigators. Impact of bronchopulmonary dysplasia, brain injury, and severe retinopathy on the outcome of extremely low-birth-weight infants at 18 months: results from the Trial of Indomethacin Prophylaxis in Preterms. JAMA. 2003;289(9):1124-1129.
6. Stoll BJ, Hansen NI, Adams-Chapman I, et al; National Institute of Child Health and Human Development Neonatal Research Network. Neurodevelopmental and growth impairment among extremely low-birth-weight infants with neonatal infection. JAMA. 2004;292(19):2357-2365.
7. Hintz SR, Kendrick DE, Stoll BJ, et al; NICHD Neonatal Research Network. Neurodevelopmental and growth outcomes of extremely low birth weight infants after necrotizing enterocolitis. Pediatrics. 2005;115(3):696-703.
8. Zupancic JAF. A systematic review of costs associated with preterm birth. In: Behrman RE, Butler AS, eds. Preterm Birth: Causes, Consequences, and Prevention.Washington, DC: National Academies Press; 2007:688-724.
9. Singer LT, Salvator A, Guo S, Collin M, Lilien L, Baley J. Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant. JAMA. 1999;281(9):799-805.
10. Soll RF, Edwards EM, Badger GJ, et al. Obstetric and neonatal care practices for infants 501 to 1500 g from 2000 to 2009. Pediatrics. 2013;132(2): 222-228.
11. Horbar JD, Soll RF, Edwards WH. The Vermont Oxford Network: A community of practice. Clin Perinatol. 2010;37(1):29-47.
12. Horbar JD, Soll RF. 2015 Manual of Operations, Part 2, Release 19.0. Burlington, VT: Vermont Oxford Network; 2016.
13. Papile LA, Burstein J, Burstein R, Koffler H. Incidence and evolution of subependymal and intraventricular hemorrhage: A study of infants with birth weights less than 1,500 gm. J Pediatr. 1978; 92(4):529-534.
14. International Committee for the Classification of Retinopathy of Prematurity. The International Classification of Retinopathy of Prematurity revisited. Arch Ophthalmol. 2005;123(7):991-999.
15. Zupancic JA, Richardson DK, Horbar JD, Carpenter JH, Lee SK, Escobar GJ; Vermont Oxford Network SNAP Pilot Project Participants. Revalidation of the Score for Neonatal Acute Physiology in the Vermont Oxford Network. Pediatrics. 2007;119(1):e156-e163.
16. National Center for Health Statistics, Centers for Disease Control and Prevention. Vital statistics data. http://www.cdc.gov/nchs/data-access/vitalstatsonline.htm. Updated September 19, 2016. Accessed November 21, 2016.
17. CooryM, Gibberd R. New measures for reporting the magnitude of small-area variation in rates. Stat Med. 1998;17(22):2625-2634.
18. Simpson JM, Evans N, Gibberd RW, Heuchan AM, Henderson-Smart DJ; Australian and New Zealand Neonatal Network. Analysing differences in clinical outcomes between hospitals. Qual Saf Health Care. 2003;12(4):257-262.
19. Wears RL, Normand SL. When less is more: using shrinkage to increase accuracy. Ann Emerg Med. 2010;55(6):553-555.
20. Shahian DM, Normand SL. What is a performance outlier? BMJ Qual Saf. 2015;24(2): 95-99.
21. Cohen ME, Ko CY, Bilimoria KY, et al. Optimizing ACS NSQIP modeling for evaluation of surgical quality and risk: patient risk adjustment, procedure mix adjustment, shrinkage adjustment, and surgical focus. J AmColl Surg. 2013;217(2):336-346.e1.
22. MacKenzie TA, Grunkemeier GL, Grunwald GK, et al. A primer on using shrinkage to compare in-hospital mortality between centers. Ann Thorac Surg. 2015;99(3):757-761.
23. Silber JH, Rosenbaum PR, Brachet TJ, et al. The Hospital Compare mortality model and the volume-outcome relationship. Health Serv Res. 2010;45(5, pt 1):1148-1167.
24. Carlin BP, Louis TA. Bayesian Methods for Data Analysis. 3rd ed. Boca Raton, FL: Chapman & Hall/CRC; 2008.
25. Zeitlin J, Manktelow BN, Piedvache A, et al; EPICE Research Group. Use of evidence based practices to improve survival without severe morbidity for very preterm infants: results from the EPICE population based cohort. BMJ. 2016;354: i2976.
26. Roberts D, Dalziel S. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev. 2006;(3):CD004454.
27. ACOG Committee on Obstetric Practice. ACOG Committee Opinion No. 475: antenatal corticosteroid therapy for fetal maturation. Obstet Gynecol. 2011;117(2, pt 1):422-424.
28. Lee HC, Kurtin PS, Wight NE, et al. A quality improvement project to increase breast milk use in very low birth weight infants. Pediatrics. 2012;130 (6):e1679-e1687.
29. Centers for Disease Control and Prevention. State perinatal quality collboratives. http://www .cdc.gov/reproductivehealth/MaternalInfantHealth/PQC-States.html. Updated March 2, 2016. Accessed July 25, 2016.
30. Gould JB. The role of regional collaboratives: The California Perinatal Quality Care Collaborative model. Clin Perinatol. 2010;37(1):71-86.
31. Ellsbury DL, Clark RH, Ursprung R, Handler DL, Dodd ED, Spitzer AR. A multifaceted approach to improving outcomes in the NICU: The Pediatrix 100 000 Babies Campaign. Pediatrics. 2016;137(4): e20150389.
32. Payne NR, Finkelstein MJ, Liu M, Kaempf JW, Sharek PJ, Olsen S. NICU practices and outcomes associated with 9 years of quality improvement collaboratives. Pediatrics. 2010;125(3):437-446.
33. Kaplan HC, Lannon C,Walsh MC, Donovan EF; Ohio Perinatal Quality Collaborative. Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatrics. 2011;127(3):427-435.
34. Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics. 2011;127(3):436-444.
35. Wirtschafter DD, Powers RJ, Pettit JS, et al. Nosocomial infection reduction in VLBW infants with a statewide quality-improvement model. Pediatrics. 2011;127(3):419-426.
36. Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013; 132(6):e1664-e1671.
37. Miller MR, Niedner MF, HuskinsWC, et al; National Association of Children's Hospitals and Related Institutions Pediatric Intensive Care Unit Central Line-Associated Bloodstream Infection Quality Transformation Teams. Reducing PICU central line-associated bloodstream infections: 3-year results. Pediatrics. 2011;128(5):e1077-e1083.
38. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
39. Plsek PE. Quality improvement methods in clinical medicine. Pediatrics. 1999;103(1)(suppl E): 203-214.
40. Eppstein MJ, Horbar JD, Buzas JS, Kauffman SA. Searching the clinical fitness landscape. PLoS One. 2012;7(11):e49901.
41. Auerswald P, Kauffman S, Lobo J, Shell K. The production recipes approach to modeling technological innovation: an application to learning by doing. J Econ Dyn Control. 2000;24(3):389-450. doi:10.1016/S0165-1889(98)00091-8
42. Schouten LM, Hulscher ME, van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. BMJ. 2008;336(7659):1491-1494.
43. Horbar JD, Carpenter JH, Buzas J, et al. Collaborative quality improvement to promote evidence based surfactant for preterm infants: A cluster randomised trial. BMJ. 2004;329(7473): 1004.
44. 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(5):876-890.
45. Lee SK, Aziz K, Singhal N, et al. Improving the quality of care for infants: A cluster randomized controlled trial. CMAJ. 2009;181(8):469-476.
46. McEvoy CT, Jain L, Schmidt B, Abman S, Bancalari E, Aschner JL. Bronchopulmonary dysplasia: NHLBI workshop on the primary prevention of chronic lung diseases. Ann Am Thorac Soc. 2014;11(suppl 3):S146-S153.
47. Ioannidis JP, Horbar JD, Ovelman CM, et al. Completeness of main outcomes across randomized trials in entire discipline: survey of chronic lung disease outcomes in preterm infants. BMJ. 2015;350:h72.