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Quality Improvement Collaborative for Preterm Infants in Healthcare Facilities

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Abstract

Across all healthcare settings, it is important not only to provide safe and effective healthcare, but also to ensure that it is timely, patient-centered, efficient and equitable. There is a wide variability in neonatal and perinatal outcomes in India and other developing countries, with certain units demonstrating clinical outcomes that match the developed world, while others showing higher than expected mortality and morbidity. Collaborative quality improvement initiatives offer a pragmatic way to improve performance of healthcare delivery within and between neonatal units. Variations in application of evidence-based healthcare process and dependent health outcomes can be identified and targeted for improvement in quality improvement cycles. We herein describe the concept of Collaborative quality improvement, and the success stories of the best-known Collaborative quality improvement initiatives across the world. We also highlight the process and progress of creating Collaborative quality improvement in our country.

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References

  1. Batalden PB, Davidoff F. What is “quality improvement” and how can it transform healthcare? Qual Saf Health Care. 2007;16:2–3.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Soll RF. Evaluating the medical evidence for quality improvement. Clin Perinatol. 2010;37:11–28.

    Article  PubMed  Google Scholar 

  3. Glasziou P, Ogrinc G, Goodman S. Can evidence-based medicine and clinical quality improvement learn from each other? BMJ Qual Saf. 2011;20:i13–17.

    Article  Google Scholar 

  4. Porter ME. What is value in health care? N Engl J Med. 2010;363:2477–81.

    Article  PubMed  CAS  Google Scholar 

  5. National Neonatology Forum: Report 1995: National Neonatal Perinatal Database network. New Delhi: 1996.

  6. National Neonatology Forum: National Neonatal Perinatal Database. Report of the year 2000. New Delhi, 2001.

  7. National Neonatology Forum: National neonatal perinatal report of the year 2002. New Delhi, 2005.

  8. Institute of Medicine (US) Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US); 2001. Available from: www.ncbi.nlm.nih.gov/books/NBK222274/. Accessed April 18, 2018.

  9. Lasswell SM, Barfield WD, Rochat RW, Blackmon L. Perinatal regionalization for very low-birth-weight and very preterm infants: A meta-analysis. JAMA. 2010;304:992–1000.

    Article  PubMed  Google Scholar 

  10. Schouten LMT, Hulscher MEJL, van Everdingen JJE, Huijsman R, Grol RPTM. Evidence for the impact of quality improvement collaboratives: Systematic review. BMJ. 2008;336:1491–4.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Horbar JD, Rogowski J, Plsek PE, Delmore P, Edwards WH, Hocker J, et al. Collaborative quality improvement for neonatal intensive care. NIC/Q Project Investigators of the Vermont Oxford Network. Pediatrics. 2001;107:14–22.

    Article  PubMed  CAS  Google Scholar 

  12. Payne NR, Finkelstein MJ, Liu M, Kaempf JW, Sharek PJ, Olsen S. NICU practices and outcomes associated with 9 years of quality improvement collaboratives. Pediatrics. 2010;125:437–46.

    Article  PubMed  Google Scholar 

  13. Walsh M, Laptook A, Kazzi SN, Engle WA, Yao Q, Rasmussen M, et al. A cluster-randomized trial of benchmarking and multimodal quality improvement to improve rates of survival free of bronchopulmonary dysplasia for infants with birth weights of less than 1250 grams. Pediatrics. 2007;119:876–90.

    Article  PubMed  Google Scholar 

  14. Lee SK, Aziz K, Singhal N, Cronin CM, James A, Lee DSC, et al. Improving the quality of care for infants: A cluster randomized controlled trial. CMAJ Can Med Assoc J JAssoc Medicale Can. 2009;181:469–76.

    Article  Google Scholar 

  15. Lee HC, Kurtin PS, Wight NE, Chance K, Cucinotta-Fobes T, Hanson-Timpson TA, et al. A quality improvement project to increase breast milk use in very low birth weight infants. Pediatrics. 2012;130:e1679–87.

    Article  Google Scholar 

  16. Ozawa M, Yokoo K, Funaba Y, Fukushima S, Fukuhara R, Uchida M, et al. A quality improvement collaborative program for neonatal pain management in Japan. Adv Neonatal Care. 2017;17:184–91.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Spence K, Henderson-Smart D. Closing the evidencepractice gap for newborn pain using clinical networks. J Paediatr Child Health. 2011;47:92–8.

    Article  PubMed  Google Scholar 

  18. Johnston AM, Bullock CE, Graham JE, Reilly MC, Rocha C, Hoopes RD, et al. Implementation and case-study results of potentially better practices for family-centered care: The family-centered care map. Pediatrics. 2006;118:S108–14.

    Article  PubMed  Google Scholar 

  19. Baer VL, Henry E, Lambert DK, Stoddard RA, Wiedmeier SE, Eggert LD, et al. Implementing a program to improve compliance with neonatal intensive care unit transfusion guidelines was accompanied by a reduction in transfusion rate: A pre-post analysis within a multihospital health care system. Transfusion (Paris). 2011;51:264–9.

    Article  Google Scholar 

  20. Lee HC, Lyndon A, Blumenfeld YJ, Dudley RA, Gould JB. Antenatal steroid administration for premature neonates in California. Obstet Gynecol. 2011;117:603–9.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. The_improvement_collaborative. Available from: https://doi.org/www.usaidassist.org/sites/assist/files/the_improvement_collaborative.june08.pdf. Accessed May 29, 2018.

  22. IHI Breakthrough Series whitepaper 2003. Available from: https://doi.org/www.ncpc.org.uk/sites/default/files/Anita_IHIBreakthroughSerieswhitepaper2003.pdf. Accessed April 18,2018.

  23. Improvement Collaboratives in Healthcare. Available from: https://doi.org/www.health.org.uk/sites/health/files/ImprovementCollaborativesInHealthcare.pdf. Accessed June 15, 2018.

  24. Gould JB. The role of regional collaboratives: the California Perinatal Quality Care Collaborative model. Clin Perinatol. 2010;37:71–86.

    Article  PubMed  Google Scholar 

  25. Langley GL, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. San Francisco, California, USA: Jossey-Bass Publishers; 2009.

    Google Scholar 

  26. Lee SK, McMillan DD, Ohlsson A, Pendray M, Synnes A, Whyte R, et al. Variations in practice and outcomes in the Canadian NICU network: 1996–1997. Pediatrics. 2000;106:1070–9.

    Article  PubMed  CAS  Google Scholar 

  27. Kilo CM. Improving care through collaboration. Pediatrics. 1999;103:384–93.

    PubMed  CAS  Google Scholar 

  28. Wells S, Tamir O, Gray J, Naidoo D, Bekhit M, Goldmann D. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27:226–40.

    Article  PubMed  Google Scholar 

  29. Ziegenfuss JT. Organizational barriers to quality improvement in medical and health care organizations. Qual Assur Util Rev. 1991;6:115–22.

    Article  PubMed  Google Scholar 

  30. Safe Care, Saving Lives. ACCESS Health Int. Available from: https://doi.org/accessh.org/project/safe-care-saving-lives/. Accessed April 18, 2018.

  31. Murki S, Kumar N, Chawla D, Bansal A, Mehta A, et al. Variability in Survival of Very Low Birth Weight Neonates in Hospitals of India. Indian J Pediatr. 2015;82:565–7.

    Article  PubMed  Google Scholar 

  32. Indian Neonatal Collaborative. Available from: https://doi.org/innc.org/. Accessed April 18, 2018.

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Author information

Authors and Affiliations

  1. Department of Neonatology, Fernandez Hospital, Hyderabad, India

    Srinivas Murki & Sai Kiran

  2. Division of Neonatology, Department of Pediatrics, PGIMER, Chandigarh, India

    Praveen Kumar

  3. Department of Pediatrics, GMH, Chandigarh, India

    Deepak Chawla

  4. Department of Pediatrics, AIIMS, New Delhi, India

    Anu Thukral

  5. Fernandez Hospital, Hyderguda, Hyderabad, 500 035, India

    Srinivas Murki

Authors
  1. Srinivas Murki
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  2. Sai Kiran
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  3. Praveen Kumar
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  4. Deepak Chawla
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  5. Anu Thukral
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Corresponding author

Correspondence to Srinivas Murki.

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Murki, S., Kiran, S., Kumar, P. et al. Quality Improvement Collaborative for Preterm Infants in Healthcare Facilities. Indian Pediatr 55, 818–823 (2018). https://doi.org/10.1007/s13312-018-1387-0

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  • DOI: https://doi.org/10.1007/s13312-018-1387-0

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