Characteristics of High Versus Low-Performing Hospitals for Very Preterm Infant Morbidity and Mortality.

ABSTRACT:

Objective

To ascertain organizational attributes, policies, and practices that differentiate hospitals with high versus low risk-adjusted rates of very preterm neonatal morbidity and mortality (NMM).

Methods

Using a positive deviance research framework, we conducted qualitative interviews of hospital leadership and frontline clinicians from September-October 2018 in 4 high-performing and 4 low-performing hospitals in New York City, based on NMM measured in previous research. Key interview topics included NICU physician and nurse staffing, professional development, standardization of care, quality measurement and improvement, and efforts to measure and report on racial/ethnic disparities in care and outcomes for very preterm infants. Interviews were audiotaped, professionally

SUBMITTER: Sofaer S 

PROVIDER: S-EPMC10769867 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature