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

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

https://doi.org/10.1136/ebn.8.3.90

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    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;329:1004.

    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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    Footnotes

    • For correspondence: Dr J D Horbar, Vermont Oxford Network, Burlington, VT, USA. horbarvtoxford.org

    • Source of funding: Agency for Healthcare Research and Quality.