TABLE 1

Summary of Potentially Better Practices and Selections According to Center

InterventionBenchmark ABenchmark BBenchmark CCenter ACenter BCenter CCenter DCenter ECenter FCenter G
Delivery room
    1. Fellow or attending physician at deliveryPPPPXPPP
    2. Respiratory therapist at deliveryPPPPPPPPP
    3. Consistent equipment in all delivery roomsPPPPPPPPP
    4. Limited pressures in manual ventilationPPPXXPPXX
    5. Prophylactic use of surfactantPPPXX
    6. Use of device to provide positive end-expiratory pressurePPPP
Respiratory care
    7. Selective intubation with liberal use of CPAPPPXX
    8. Early use of surfactant if intubatedPPPPPPPXP
    9. Assessment of volume/pressure and targeting of lowest levels to achieve modest chest rise if intubatedPPPXXPXP
    10. Aggressive weaning and early extubation if intubatedPPPPXXXXX
    11. Higher Paco2 targets for all patientsPPPPXPPPXX
    12. Lower oxygen saturation goalsPPPXXXXXXX
    13. High-saturation alarm set at 95%PPPXXXXXXX
    14. Avoidance of routine suctioning for patients undergoing ventilationPPXXP
    15. Avoidance of hand-bagging for patients undergoing ventilationPPXXX
    16. Nonroutine use of analgesics/sedatives for patients undergoing ventilationPPPPXPP
    17. Prophylactic use of methylxanthines before extubationPPPP
    18. Consensus regarding ventilatory managementPPPP
Nutrition/fluids
    19. Limited intravenous fluidsPPPXPXXX
    20. High-humidity environmentsPPPXPP
    21. Limited volume expansion to treat low blood pressurePPPPPPP
    22. Aggressive approach to patent ductus arteriosusPPPPPP
    23. Early introduction of parenteral protein intakePPPPPPP
    24. Early introduction of lipidsPPPPP
    25. Full total parenteral nutrition with increasing enteral feedingPPPPP
    26. Frequent use of human milkPPPPPP
    27. Vitamin A prophylaxisPPXPP
  • P indicates a center already practicing this standard; X, an intervention selected by the center.