The role of QI collaboratives in neonatology.

Journal

Journal of perinatology : official journal of the California Perinatal Association

ISSN: 1476-5543

Titre abrégé: J Perinatol

Pays: United States

ID NLM: 8501884

Informations de publication

Date de publication:
09 Oct 2024

Historique:

received: 24 06 2024

accepted: 16 09 2024

revised: 12 09 2024

medline: 10 10 2024

pubmed: 10 10 2024

entrez: 9 10 2024

Statut: aheadofprint

Résumé

Quality improvement collaboratives (QICs) use their collective experiences from participating centers to accelerate the translation of evidence into practice, resulting in reduced variation and improved clinical outcomes. There are several regional, national, and international QICs in neonatology. In this review, we discuss the framework and evaluate national QICs primarily based in US and share the contributions of selected studies. We found that the QICs in neonatology play a significant role in identification of target topics, developing best practices, improving provider knowledge, building QI capacity, and improving outcomes. The key strengths of QICs are that they produce more generalizable learnings, involve a larger patient population which enhances statistical analysis, and offer resources to smaller institutions. Limitations include institutions contributing unequally to the overall results, difficulty in interpreting results when multiple improvement strategies are applied simultaneously, and the possible lack of academic recognition for individual center leadership.

Identifiants

DOI: 10.1038/s41372-024-02124-w PMID: 39384615

pubmed: 39384615

doi: 10.1038/s41372-024-02124-w

pii: 10.1038/s41372-024-02124-w

doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

Informations de copyright

Références

Øvretveit J, Bate P, Cleary P, Cretin S, Gustafson D, McInnes K, et al. Quality collaboratives: lessons from research. Qual Saf health care. 2002;11:345–51.

pubmed: 12468695 doi: 10.1136/qhc.11.4.345

Kilo CM. A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement’s Breakthrough Series. Quality Management in. Healthcare 1998;6:1–14.

Wells S, Tamir O, Gray J, Naidoo D, Bekhit M, Goldmann D. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2018;27:226–40.

pubmed: 29055899 doi: 10.1136/bmjqs-2017-006926

Leape LL, Kabcenell AI, Gandhi TK, Carver P, Nolan TW, Berwick DM. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual improvement. 2000;26:321–31.

doi: 10.1016/S1070-3241(00)26026-4

Horbar JD, Plsek PE, Leahy K. NIC/Q 2000: establishing habits for improvement in neonatal intensive care units. Pediatrics 2003;111:e397–e410.

pubmed: 12671159 doi: 10.1542/peds.111.SE1.e397

Lannon CM, Peterson LE. Pediatric collaborative networks for quality improvement and research. Academic pediatrics. 2013;13:S69–S74.

pubmed: 24268088 doi: 10.1016/j.acap.2013.07.004

K Griffith, E Moore, C Berger, H Kennedy, E Martinez-Vidal, S Neese-Todd, et al. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) 2014 [updated October 2014. AHRQ Publication No. 14(15)-0064-EF.

Hulscher M, Schouten L, Grol R. Collaboratives London, QQIP. The Health Foundation. 2009.

Zamboni K, Baker U, Tyagi M, Schellenberg J, Hill Z, Hanson C. How and under what circumstances do quality improvement collaboratives lead to better outcomes? A systematic review. Implement Sci. 2020;15:1–20.

doi: 10.1186/s13012-020-0978-z

Levene I, Alderdice F, McCleverty B, O’Brien F, Fewtrell M, Quigley MA. A report on parent involvement in planning a randomised controlled trial in neonatology and lactation–insights for current and future research. Int Breastfeed J. 2022;17:69.

pubmed: 36104819 pmcid: 9472727 doi: 10.1186/s13006-022-00509-1

Schouten LM, Hulscher ME, Van Everdingen JJ, Huijsman R, Grol RP. Evidence for the impact of quality improvement collaboratives: systematic review. Bmj 2008;336:1491–4.

pubmed: 18577559 pmcid: 2440907 doi: 10.1136/bmj.39570.749884.BE

Nadeem E, Olin SS, Hill LC, Hoagwood KE, Horwitz SM. Understanding the components of quality improvement collaboratives: a systematic literature review. Milbank Q. 2013;91:354–94.

pubmed: 23758514 pmcid: 3696201 doi: 10.1111/milq.12016

Series B. The breakthrough series: IHI’s collaborative model for achieving breakthrough improvement. Diabetes Spectrum. 2004;17:97–101.

Malenka DJ, O’Connor GT, Group NNECDS. The Northern New England Cardiovascular Disease Study Group: a regional collaborative effort for continuous quality improvement in cardiovascular disease. Jt Comm J Qual improvement. 1998;24:594–600.

doi: 10.1016/S1070-3241(16)30408-4

Horbar JD. The Vermont Oxford Network: evidence-based quality improvement for neonatology. Pediatrics 1999;103:350–9.

pubmed: 9917477 doi: 10.1542/peds.103.SE1.350

Horbar JD, Rogowski J, Plsek PE, Delmore P, Edwards WH, Hocker J, et al. Collaborative quality improvement for neonatal intensive care. Pediatrics 2001;107:14–22.

pubmed: 11134428 doi: 10.1542/peds.107.1.14

Nolan TW, Schall MW, Berwick DM, Roessner J. Reducing delays and waiting times throughout the healthcare system: Institute for Healthcare Improvement; 1996.

Webster PD, Deka S, Ismail A, Stern AF, Barker PM. Using a multicountry learning network to harvest and rapidly spread implementation knowledge across programs aimed to reduce mother-to-child transmission of HIV and improve nutrition: perspectives and lessons learned for similar large-scale initiatives. J Int Assoc Providers AIDS Care (JIAPAC). 2019;18:2325958219847452.

doi: 10.1177/2325958219847452

Power M, Tyrrell PJ, Rudd AG, Tully MP, Dalton D, Marshall M, et al. Did a quality improvement collaborative make stroke care better? A cluster randomized trial. Implement Sci. 2014;9:1–9.

doi: 10.1186/1748-5908-9-40

Billett AL, Colletti RB, Mandel KE, Miller M, Muething SE, Sharek PJ, et al. Exemplar pediatric collaborative improvement networks: achieving results. Pediatrics 2013;131:S196–S203.

pubmed: 23729760 doi: 10.1542/peds.2012-3786F

Lee SK, Aziz K, Singhal N, Cronin CM, James A, Lee DS, et al. Improving the quality of care for infants: a cluster randomized controlled trial. Cmaj 2009;181:469–76.

pubmed: 19667033 pmcid: 2761437 doi: 10.1503/cmaj.081727

Donoghue DA, Henderson‐Smart DJ. The establishment of the Australian and New Zealand neonatal network. J Paediatrics child health. 2009;45:400–4.

doi: 10.1111/j.1440-1754.2009.01527.x

Shah PS, Lui K, Reichman B, Norman M, Kusuda S, Lehtonen L, et al. The International Network for Evaluating Outcomes (iNeo) of neonates: evolution, progress and opportunities. Transl Pediatrics. 2019;8:170.

doi: 10.21037/tp.2019.07.06

Hei M, Li X, Shi Y, Cao Y, Sun J, Wu H, et al. Chinese Neonatal Network: a national protocol for collaborative research and quality improvement in neonatal care. BMJ open. 2022;12:e051175.

pubmed: 35501095 pmcid: 9062799 doi: 10.1136/bmjopen-2021-051175

Grover TR, Pallotto EK, Brozanski B, Piazza AJ, Chuo J, Moran S, et al. Interdisciplinary teamwork and the power of a quality improvement collaborative in tertiary neonatal intensive care units. J Perinat Neonatal Nurs. 2015;29:179–86.

pubmed: 25919608 doi: 10.1097/JPN.0000000000000102

CHNC [Available from: https://www.thechnc.org/quality-improvement/intro .

Children’s Hospitals Solutions for Patient Safety (SPS) [Available from: https://www.solutionsforpatientsafety.org/our-network .

NICHQ [Available from: https://nichq.org/about/mission .

Henderson ZT, Ernst K, Simpson KR, Berns S, Suchdev DB, Main E, et al. The national network of state perinatal quality collaboratives: a growing movement to improve maternal and infant health. J women’s health. 2018;27:221–6.

doi: 10.1089/jwh.2018.6941

McCaffrey J. Pediatrix Blog.

Pediatrix [Available from: https://www.pediatrix.com/for-clinicians/creqs .

VON [Available from: https://public.vtoxford.org/who-we-are-overview/ .

Langley GJ, Moen RD, Nolan KM, Nolan TW, Norman CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance: John Wiley & Sons; 2009.

Pallotto EK, Chuo J, Piazza AJ, Provost L, Grover TR, Smith JR, et al. Orchestrated testing: an innovative approach to a multicenter improvement collaborative. Am J Med Qual. 2017;32:87–92.

pubmed: 26483566 doi: 10.1177/1062860615609994

Piazza AJ, Brozanski B, Provost L, Grover TR, Chuo J, Smith JR, et al. SLUG bug: quality improvement with orchestrated testing leads to NICU CLABSI reduction. Pediatrics. 2016;137:e20143642.

Pallotto EK, Piazza AJ, Smith JR, Grover TR, Chuo J, Provost L, et al. Sustaining SLUG bug CLABSI reduction: does sterile tubing change technique really work? Pediatrics 2017;140:e20163178.

pubmed: 28951441 doi: 10.1542/peds.2016-3178

Kotter JP, Schlesinger LA Choosing strategies for change. 1979.

Kotter JP Accelerate: Elex Media Komputindo; 2019.

Spitzer AR, Ellsbury DL, Handler D, Clark RH. The Pediatrix Babysteps® Data Warehouse and the Pediatrix QualitySteps improvement project system—tools for “meaningful use” in continuous quality improvement. Clin Perinatol. 2010;37:49–70.

pubmed: 20363447 doi: 10.1016/j.clp.2010.01.016

Spitzer AR, Ellsbury D, Clark RH. The Pediatrix BabySteps® Data Warehouse—a unique national resource for improving outcomes for neonates. Indian J Pediatrics. 2015;82:71–9.

doi: 10.1007/s12098-014-1585-2

Menon M, Huber R, Russell RB, Feldman-Winter L, Goodstein MH, Scott S, et al. Maternity Care Clinicians’ Experiences Promoting Infant Safe Sleep and Breastfeeding During the COVID-19 Pandemic. Nurs Women’s Health. 2023;27:90–102.

doi: 10.1016/j.nwh.2023.01.004

Newton PJ, Halcomb E, Davidson P, Denniss A. Barriers and facilitators to the implementation of the collaborative method: reflections from a single site. BMJ Qual Saf. 2007;16:409–14.

doi: 10.1136/qshc.2006.019125

Besserman E, Brennan M, Brown PA III, Cleaves S, Nemeth WJ. Multidisciplinary achievement: the collaborative approach to rapid cycle ICU and hospital change. Qual Manag Healthc 1998;6:43–52.

doi: 10.1097/00019514-199806040-00005

Gagnon J, Breton M, Gaboury I. Decision-maker roles in healthcare quality improvement projects: a scoping review. BMJ Open Qual. 2024;13:e002522.

pubmed: 38176953 doi: 10.1136/bmjoq-2023-002522

Mittman BS. Creating the evidence base for quality improvement collaboratives. Ann Intern Med. 2004;140:897–901.

pubmed: 15172904 doi: 10.7326/0003-4819-140-11-200406010-00011

DeVito NJ, Goldacre B. Catalogue of bias: publication bias. BMJ Evidence-Based. Medicine 2019;24:53–4.

Chan A-W, Altman DG. Identifying outcome reporting bias in randomised trials on PubMed: review of publications and survey of authors. Bmj 2005;330:753.

pubmed: 15681569 doi: 10.1136/bmj.38356.424606.8F

Olson CM, Rennie D, Cook D, Dickersin K, Flanagin A, Hogan JW, et al. Publication bias in editorial decision making. Jama 2002;287:2825–8.

pubmed: 12038924 doi: 10.1001/jama.287.21.2825

Ho T, Zupancic JA, Pursley DM, Dukhovny D. Improving value in neonatal intensive care. Clin Perinatol. 2017;44:617–25.

pubmed: 28802342 doi: 10.1016/j.clp.2017.05.009

Rogowski JA, Horbar JD, Plsek PE, Baker LS, Deterding J, Edwards WH, et al. Economic implications of neonatal intensive care unit collaborative quality improvement. Pediatrics 2001;107:23–9.

pubmed: 11134429 doi: 10.1542/peds.107.1.23

Parker MG, Hwang SS, editors. Quality improvement approaches to reduce racial/ethnic disparities in the neonatal intensive care unit. Seminars in Perinatology; 2021: Elsevier.

Reichman V, Brachio SS, Madu CR, Montoya-Williams D, Peña M-M, editors. Using rising tides to lift all boats: Equity-focused quality improvement as a tool to reduce neonatal health disparities. Seminars in Fetal and Neonatal Medicine; 2021: Elsevier.

Bapat R, Duran M, Piazza A, Pallotto EK, Joe P, Chuo J, et al. A multicenter collaborative to improve postoperative pain management in the NICU. Pediatrics 2023;152:e2022059860.

pubmed: 37409386 doi: 10.1542/peds.2022-059860

Ridge MS, Statile AM. We Need It All in Quality Improvement: Local Change, Collaboration, and an Equity Lens. Pediatrics 2024;153:e2024065653.

pubmed: 38682246 doi: 10.1542/peds.2024-065653

Brozanski BS, Piazza AJ, Chuo J, Natarajan G, Grover TR, Smith JR, et al. STEPP IN: working together to keep infants warm in the perioperative period. Pediatrics 2020;145:e20191121.

pubmed: 32193210 doi: 10.1542/peds.2019-1121

Piazza AJ, Brozanski B, Grover T, Chuo J, Mingrone T, Rao R, et al. STEPP IN: a multicenter quality improvement collaborative standardizing postoperative handoffs. Pediatrics 2021;148:e2020016402.

pubmed: 34851419 doi: 10.1542/peds.2020-016402

Lyren A, Brilli RJ, Zieker K, Marino M, Muething S, Sharek PJ. Children’s hospitals’ solutions for patient safety collaborative impact on hospital-acquired harm. Pediatrics 2017;140:e20163494.

pubmed: 28814576 doi: 10.1542/peds.2016-3494

Frank G, Walsh KE, Wooton S, Bost J, Dong W, Keller L, et al. Impact of a pressure injury prevention bundle in the solutions for patient safety network. Pediatr Qual Saf. 2017;2:e013.

pubmed: 30229152 pmcid: 6132915 doi: 10.1097/pq9.0000000000000013

Klugman D, Melton K, Maynord PON, Dawson A, Madhavan G, Montgomery VL, et al. Assessment of an unplanned extubation bundle to reduce unplanned extubations in critically ill neonates, infants, and children. JAMA pediatrics. 2020;174:e200268–e.

pubmed: 32282029 doi: 10.1001/jamapediatrics.2020.0268

Randall KH, Slovensky D, Weech-Maldonado R, Sharek P. The Relationship between High-reliability practice and Hospital-acquired conditions among the Solutions for Patient Safety Collaborative. Pediatr Qual Saf. 2021;6:e470.

pubmed: 34589644 pmcid: 8476050 doi: 10.1097/pq9.0000000000000470

Coffey M, Marino M, Lyren A, Purcell D, Hoffman JM, Brilli R, et al. Association between hospital-acquired harm outcomes and membership in a national patient safety collaborative. JAMA pediatrics. 2022;176:924–32.

pubmed: 35877132 pmcid: 9315995 doi: 10.1001/jamapediatrics.2022.2493

Wu AG, Madhavan G, Deakins K, Evans D, Hayward A, Pugh C, et al. Pediatric ventilator-associated events before and after a multicenter quality improvement initiative. JAMA Netw open. 2023;6:e2346545.

pubmed: 38060226 pmcid: 10704274 doi: 10.1001/jamanetworkopen.2023.46545

Feldman-Winter L, Ustianov J. Lessons learned from hospital leaders who participated in a national effort to improve maternity care practices and breastfeeding. Breastfeed Med. 2016;11:166–72.

pubmed: 27058015 pmcid: 4860665 doi: 10.1089/bfm.2016.0003

Feldman-Winter L, Ustianov J, Anastasio J, Butts-Dion S, Heinrich P, Merewood A, et al. Best fed beginnings: a nationwide quality improvement initiative to increase breastfeeding. Pediatrics 2017;140:e20163121.

pubmed: 28588102 doi: 10.1542/peds.2016-3121

Bloom BT, Mulligan J, Arnold C, Ellis S, Moffitt S, Rivera A, et al. Improving growth of very low birth weight infants in the first 28 days. Pediatrics 2003;112:8–14.

pubmed: 12837860 doi: 10.1542/peds.112.1.8

Ellsbury DL, Ursprung R. Comprehensive Oxygen Management for the Prevention of Retinopathy of Prematurity: the pediatrix experience. Clin Perinatol. 2010;37:203–15.

pubmed: 20363456 doi: 10.1016/j.clp.2010.01.012

Ellsbury DL, Clark RH, Ursprung R, Handler DL, Dodd ED, Spitzer AR. A multifaceted approach to improving outcomes in the NICU: the Pediatrix 100 000 Babies Campaign. Pediatrics 2016;137:e20150389.

pubmed: 26936860 doi: 10.1542/peds.2015-0389

Patrick SW, Schumacher RE, Horbar JD, Buus-Frank ME, Edwards EM, Morrow KA, et al. Improving care for neonatal abstinence syndrome. Pediatrics 2016;137:e20153835.

pubmed: 27244809 pmcid: 4845877 doi: 10.1542/peds.2015-3835

Hagadorn J, Sink D, Buus-Frank M, Edwards E, Morrow K, Horbar J, et al. Alarm safety and oxygen saturation targets in the Vermont Oxford Network iNICQ 2015 collaborative. J Perinatol. 2017;37:270–6.

pubmed: 27977012 doi: 10.1038/jp.2016.219

Dukhovny D, Buus-Frank ME, Edwards EM, Ho T, Morrow KA, Srinivasan A, et al. A collaborative multicenter QI initiative to improve antibiotic stewardship in newborns. Pediatrics 2019;144:e20190589.

pubmed: 31676682 doi: 10.1542/peds.2019-0589

Swanson JR, Becker A, Fox J, Horgan M, Moores R, Pardalos J, et al. Implementing an exclusive human milk diet for preterm infants: real-world experience in diverse NICUs. BMC pediatrics. 2023;23:237.

pubmed: 37173652 doi: 10.1186/s12887-023-04047-5