A collaborative quality improvement intervention was effective for promoting use of surfactant therapy in preterm infants
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
Design:
cluster randomised controlled trial.
Allocation:
concealed.
Blinding:
unclear.
Follow up period:
until discharge from hospital.
Setting:
114 neonatal intensive care units (NICUs) in North America.
Patients:
6182 preterm infants (23–29 wks gestation, birth weights 401–1500 g) who did not have major birth defects.
Intervention:
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, and collaborative learning) and ongoing faculty support (intervention NICUs, 3332 patients). 57 NICUs were allocated to receive centre specific confidential …
