Published online November 1, 2006
PEDIATRICS Vol. 118 Supplement November 2006, pp. S57-S64 (doi:10.1542/peds.2006-0913A)
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ARTICLE


Evidence-Based Quality Improvement in Neonatal and Perinatal Medicine: The Neonatal Intensive Care Quality Improvement Collaborative Experience

Jeffrey D. Horbar, MDa,b, Paul E. Plsek, MSc, Janice A. Schriefer, DrPHb and Kathy Leahy, RN, NNPa,b

a Department of Pediatrics, University of Vermont, Burlington, Vermont
b Vermont Oxford Network, Burlington, Vermont
c Paul E. Plsek & Associates, Inc, Roswell, Georgia

Key Words: quality improvement • safety • neonatal intensive care

Abbreviations: VON, Vermont Oxford Network • NIC/Q 2002, Neonatal Intensive Care Quality Improvement Collaborative 2002 • PBP, potentially better practice

The first 300 words of the full text of this article appear below.

This supplement is a collection of original articles written by participants in the Vermont Oxford Network (VON) Neonatal Intensive Care Quality Improvement Collaborative 2002 (NIC/Q 2002). It is the third in a planned series of supplements that began in January 1999 with the electronic supplement in Pediatrics titled "Evidenced-Based Quality Improvement in Neonatal and Perinatal Medicine"1 and continued in April 2003 with "Evidenced-Based Quality Improvement in Neonatal and Perinatal Medicine: The NIC/Q 2000 Experience."2

The premise of this series is that the quality of practices in clinical, organizational, and operational care for newborn infants and their families can be improved dramatically using the 4 key habits for improvement3: (1) systems thinking; (2) a habit for change; (3) evidenced-based clinical science; and (4) multicenter, multidisciplinary collaborative learning. This current collection represents the work of the NIC/Q 2002 Evidenced-Based Quality Improvement Collaborative in Neonatology. The articles in this collection provide a detailed description of a multiinstitutional improvement collaborative. They should be of interest to health care providers as they pertain both to the NICU setting specifically and to collaborative quality improvement in general.

The collaborative, sponsored by the VON, comprised multidisciplinary teams from NICUs in the United States and Canada. The 46 centers in the NIC/Q 2002 collaborative were selected on the basis of willingness to make the personal and financial commitment to join the project with an annual fee, as well as funding travel expenses for the teams. Each center was responsible for determining whether local Institutional Review Board approval was necessary for participation. The 46 centers and their key personnel are listed in Appendix 1. They include many sites from the NIC/Q and NIC/Q 2000 collaboratives. These teams worked together from March 2000 through October 2003 with the guidance of expert faculty and staff (Appendix 2) to identify, test, . . . [Full Text of this Article]

Address correspondence to Jeffrey D. Horbar, MD, Vermont Oxford Network, 33 Kilburn St, Burlington, VT 05401. E-mail: horbar@vtoxford.org




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