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PapersCollaborative quality improvement to promote evidence basedsurfactant for preterm infants: a cluster randomised trialJeffrey D Horbar, Joseph H Carpenter, Jeffrey Buzas, Roger F Soll, Gautham Suresh, Michael B Bracken,Laura C Leviton, Paul E Plsek, John C SinclairAbstractObjectiveTo test a multifaceted Collaborative qualityimprovement intervention designed to promote evidence basedsurfactant treatment for preterm infants of 23-29 weeks randomised controlled trialSetting and participants114 neonatal intensive care units(which treated 6039 infants of 23-29 weeks gestation born in2001).Main outcome measuresProcess of care measures: proportionof infants receiving first surfactant in the delivery room,proportion receiving first surfactant more than two hours afterbirth, and median time from birth to first dose of outcomes: death before discharge home, Collaborative quality improvementadvice including audit and feedback, evidence reviews, aninteractive training workshop, and ongoing faculty support viaconference calls and with those in control hospitals, infants inintervention hospitals were more likely to receive surfactant inthe delivery room (adjusted odds ratio (95% confidenceinterval to )), were less likely to receive the first dosemore than two hours after
Papers Collaborative quality improvement to promote evidence based surfactant for preterm infants: a cluster randomised trial Jeffrey D Horbar, Joseph H Carpenter, Jeffrey Buzas, Roger F Soll, Gautham Suresh, Michael B Bracken,
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