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Evid Based Nurs 8:90 doi:10.1136/ebn.8.3.90
  • Quality improvement

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

GraphicDesign:

cluster randomised controlled trial.

GraphicAllocation:

concealed.

GraphicBlinding:

unclear.

GraphicFollow up period:

until discharge from hospital.

GraphicSetting:

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

GraphicPatients:

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

GraphicIntervention:

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 …

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