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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?
cluster randomised controlled trial.
Follow up period:
until discharge from hospital.
114 neonatal intensive care units (NICUs) in North America.
6182 preterm infants (23–29 wks gestation, birth weights 401–1500 g) who did not have major birth defects.
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, …
For correspondence: Dr J D Horbar, Vermont Oxford Network, Burlington, VT, USA.
Source of funding: Agency for Healthcare Research and Quality.