Collaborative quality improvement to promote evidence based surfactant for preterm infants: a cluster randomised trial.

ABSTRACT:

Objective

To test a multifaceted collaborative quality improvement intervention designed to promote evidence based surfactant treatment for preterm infants of 23-29 weeks' gestation.

Design

Cluster randomised controlled trial.

Setting and participants

114 neonatal intensive care units (which treated 6039 infants of 23-29 weeks gestation born in 2001).

Main outcome measures

Process of care measures: proportion of infants receiving first surfactant in the delivery room, proportion receiving first surfactant more than two hours after birth, and median time from birth to first dose of surfactant. Clinical outcomes: death before discharge home, and pneumothorax.

Intervention

Multifaceted collaborative quality improvement advice including audit and feedback, e

SUBMITTER: Horbar JD 

PROVIDER: S-EPMC524548 | biostudies-literature | 2004 Oct

REPOSITORIES: biostudies-literature