Improving the quality of care for infants: a cluster randomized controlled trial.
CMAJ
; 181(8): 469-76, 2009 Oct 13.
Article
em En
| MEDLINE
| ID: mdl-19667033
ABSTRACT
BACKGROUND:
We developed and tested a new method, called the Evidence-based Practice for Improving Quality method, for continuous quality improvement.METHODS:
We used cluster randomization to assign 6 neonatal intensive care units (ICUs) to reduce nosocomial infection (infection group) and 6 ICUs to reduce bronchopulmonary dysplasia (pulmonary group). We included all infants born at 32 or fewer weeks gestation. We collected baseline data for 1 year. Practice change interventions were implemented using rapid-change cycles for 2 years.RESULTS:
The difference in incidence trends (slopes of trend lines) between the ICUs in the infection and pulmonary groups was - 0.0020 (95% confidence interval [CI] - 0.0007 to 0.0004) for nosocomial infection and - 0.0006 (95% CI - 0.0011 to - 0.0001) for bronchopulmonary dysplasia.INTERPRETATION:
The results suggest that the Evidence-based Practice for Improving Quality method reduced bronchopulmonary dysplasia in the neonatal ICU and that it may reduce nosocomial infection.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Garantia da Qualidade dos Cuidados de Saúde
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Displasia Broncopulmonar
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Recém-Nascido Prematuro
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Infecção Hospitalar
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Medicina Baseada em Evidências
Tipo de estudo:
Clinical_trials
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
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Newborn
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article