Improving the quality of care for infants: a cluster randomized controlled trial.
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ABSTRACT: Background
We developed and tested a new method, called the Evidence-based Practice for Improving Quality method, for continuous quality improvement.Methods
We used cluster randomization to assign 6 neonatal intensive care units (ICUs) to reduce nosocomial infection (infection group) and 6 ICUs to reduce bronchopulmonary dysplasia (pulmonary group). We included all infants born at 32 or fewer weeks gestation. We collected baseline data for 1 year. Practice change interventions were implemented using rapid-change cycles for 2 years.Results
The difference in incidence trends (slopes of trend lines) between the ICUs in the infection and pulmonary groups was - 0.0020 (95% confidence interval [CI] - 0.0007 to 0.0004) for nosocomial infection and - 0.0006 (95% CI - 0.0011 to - 0.0001) for bronchopulmonary dysplasia.Interpretation
The results suggest that the Evidence-based Practice for Improving Quality method reduced bronchopulmonary dysplasia in the neonatal ICU and that it may reduce nosocomial infection.
SUBMITTER: Lee SK
PROVIDER: S-EPMC2761437 | biostudies-literature | 2009 Oct
REPOSITORIES: biostudies-literature
Publications
Improving the quality of care for infants: a cluster randomized controlled trial.
Lee Shoo K SK Aziz Khalid K Singhal Nalini N Cronin Catherine M CM James Andrew A Lee David S C DS Matthew Derek D Ohlsson Arne A Sankaran Koravangattu K Seshia Mary M Synnes Anne A Walker Robin R Whyte Robin R Langley Joanne J MacNab Ying C YC Stevens Bonnie B von Dadelszen Peter P
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne 20090810 8
<h4>Background</h4>We developed and tested a new method, called the Evidence-based Practice for Improving Quality method, for continuous quality improvement.<h4>Methods</h4>We used cluster randomization to assign 6 neonatal intensive care units (ICUs) to reduce nosocomial infection (infection group) and 6 ICUs to reduce bronchopulmonary dysplasia (pulmonary group). We included all infants born at 32 or fewer weeks gestation. We collected baseline data for 1 year. Practice change interventions we ...[more]
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