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A collaborative quality improvement intervention was effective for promoting use of surfactant therapy in preterm infants

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Q Is a multifaceted quality improvement intervention based on 4 key habits (change, evidence-based practice, systems thinking, and collaborative learning) effective for promoting use of surfactant therapy in preterm infants?

METHODS

Embedded ImageDesign:

cluster randomised controlled trial.

Embedded ImageAllocation:

concealed.

Embedded ImageBlinding:

unclear.

Embedded ImageFollow up period:

until discharge from hospital.

Embedded ImageSetting:

114 neonatal intensive care units (NICUs) in North America.

Embedded ImagePatients:

6182 preterm infants (23–29 wks gestation, birth weights 401–1500 g) who did not have major birth defects.

Embedded ImageIntervention:

57 NICUs were allocated to a multifaceted, collaborative, quality improvement intervention involving audit and feedback, an interactive training workshop based on 4 key habits (change, evidence-based practice, systems thinking, …

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