Evidence map›Paper›PMID 21350429›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2011

Formal selection of measures for a composite index of NICU quality of care: Baby-MONITOR.

J Profit, J B Gould, J A F Zupancic, A R Stark, K M Wall, M A Kowalkowski, M Mei, K Pietz, E J Thomas, L A Petersen

Registry-linked trialAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02603133 (Web-based Implementation for the Science of Enhancing Resilience Study), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02603133 nacompletednot on this mapstarted 2016, after this paper: background citation

Web-based Implementation for the Science of Enhancing Resilience Study

TypeinterventionalSponsorStanford UniversityRan2016 to 2019Enrolled2,650ConditionsBurnout, Professional, Resilience, PsychologicalArmsThree Good Things, Gratitude, Random Acts of Kindess, Awe, 1 Good Chat
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Measuring quality of care in moderate and late preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Burnout in the neonatal intensive care unit and its relation to healthcare-associated infections.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Observational
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Do practicing clinicians agree with expert ratings of neonatal intensive care unit quality measures?Journal of perinatology : official journal of the California Perinatal Association · 2012
    Article
  19. Neonatal intensive care unit safety culture varies widely.Archives of disease in childhood. Fetal and neonatal edition · 2012
    Article
  20. The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU.Archives of disease in childhood. Fetal and neonatal edition · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

J ProfitSection of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. profit@bcm.edu
J B Gould
J A F Zupancic
A R Stark
K M Wall
M A Kowalkowski
M Mei
K Pietz
E J Thomas
L A Petersen

Funding

Improving the Safety and Quality of Pediatric Health CareK24HD053771 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI THOMAS, ERIC J · 2009 to 2013
$714k
Development and Validation of a Scorecard of Neonatal Intensive Care QualityK23HD056298 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI PROFIT, JOCHEN · 2007 to 2011
$682k
NICHD NIH HHS K23 HD056298NICHD NIH HHS K23 HD056298-01NICHD NIH HHS K24 HD053771
6 · The paper itself

Abstract

objectiveTo systematically rate measures of care quality for very low birth weight infants for inclusion into Baby-MONITOR, a composite indicator of quality. STUDY

designModified Delphi expert panelist process including electronic surveys and telephone conferences. Panelists considered 28 standard neonatal intensive care unit (NICU) quality measures and rated each on a 9-point scale taking into account pre-defined measure characteristics. In addition, panelists grouped measures into six domains of quality. We selected measures by testing for rater agreement using an accepted method.

resultOf 28 measures considered, 13 had median ratings in the high range (7 to 9). Of these, 9 met the criteria for inclusion in the composite: antenatal steroids (median (interquartile range)) 9(0), timely retinopathy of prematurity exam 9(0), late onset sepsis 9(1), hypothermia on admission 8(1), pneumothorax 8(2), growth velocity 8(2), oxygen at 36 weeks postmenstrual age 7(2), any human milk feeding at discharge 7(2) and in-hospital mortality 7(2). Among the measures selected for the composite, the domains of quality most frequently represented included effectiveness (40%) and safety (30%).

conclusionA panel of experts selected 9 of 28 routinely reported quality measures for inclusion in a composite indicator. Panelists also set an agenda for future research to close knowledge gaps for quality measures not selected for the Baby-MONITOR.

Indexed as

Infant, Very Low Birth WeightQuality Assurance, Health CareData CollectionDelphi TechniqueHumansInfant, NewbornIntensive Care Units, NeonatalQuality of Health Care

Identifiers

PMID21350429
PMCPMC3205234

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.