ArticleJAMA pediatrics2013
Correlation of neonatal intensive care unit performance across multiple measures of quality of care.
Article in JAMA pediatrics, 2013. 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 25 papers, 2 of them syntheses that pooled it.
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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.
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.
Web-based Implementation for the Science of Enhancing Resilience Study
Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding the Domains of Experiences of Black Mothers with Preterm Infants in the United States: A Systematic Literature Review.Journal of racial and ethnic health disparities · 2023Pooled it
- Sustainable neonatal CLABSI surveillance: consensus towards new criteria in the Netherlands.Antimicrobial resistance and infection control · 2021Guideline
- Article
- Level III neonatal intensive care unit heterogeneity in patients, services, and outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Quality and Safety Indicators in Neonatal Care: An Integrative Review of Their Evolution.Portuguese journal of public health · 2026Review
- Hospital-Level NICU Capacity, Utilization, and 30-Day Outcomes in Texas.JAMA network open · 2024Article
- Maternal Migration Background and Mortality Among Infants Born Extremely Preterm.JAMA network open · 2023Article
- Racial and ethnic disparities in postnatal growth among very low birth weight infants in California.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Impact of Competition Versus Centralisation of Hospital Care on Process Quality: A Multilevel Analysis of Breast Cancer Surgery in France.International journal of health policy and management · 2022Article
- Multilevel social factors and NICU quality of care in California.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Addressing Quality of Care in Pediatric Units using a Digital Tool: Implementation Experience from 18 SNCU of India.Journal of tropical pediatrics · 2021Article
- The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care.Journal of patient safety · 2020Article
- Evaluation of specific quality metrics to assess the performance of a specialised newborn transport programme.European journal of pediatrics · 2020Article
- Development and use of an adjusted nurse staffing metric in the neonatal intensive care unit.Health services research · 2020Article
- Safety climate, safety climate strength, and length of stay in the NICU.BMC health services research · 2019Observational
- Admission hypothermia, neonatal morbidity, and mortality: evaluation of a multicenter cohort of very low birth weight preterm infants according to relative performance of the center.European journal of pediatrics · 2019Article
- Never judge a book by its cover: how NICU evaluators reach conclusions about quality of care.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Disparities in NICU quality of care: a qualitative study of family and clinician accounts.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Volume, size, professionals' specialization and nutrition management of NICUs and their association with treatment quality in VLBW infants.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Racial/Ethnic Disparity in NICU Quality of Care Delivery.Pediatrics · 2017Observational
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo examine whether high performance on one measure of quality is associated with high performance on others and to develop a data-driven explanatory model of neonatal intensive care unit (NICU) performance.
designWe conducted a cross-sectional data analysis of a statewide perinatal care database. Risk-adjusted NICU ranks were computed for each of 8 measures of quality selected based on expert input. Correlations across measures were tested using the Pearson correlation coefficient. Exploratory factor analysis was used to determine whether underlying factors were driving the correlations.
settingTwenty-two regional NICUs in California. PATIENTS: In total, 5445 very low-birth-weight infants cared for between January 1, 2004, and December 31, 2007. MAIN OUTCOMES MEASURES: Pneumothorax, growth velocity, health care-associated infection, antenatal corticosteroid use, hypothermia during the first hour of life, chronic lung disease, mortality in the NICU, and discharge on any human breast milk.
resultsThe NICUs varied substantially in their clinical performance across measures of quality. Of 28 unit-level correlations, 6 were significant (ρ < .05). Correlations between pairs of measures of quality of care were strong (ρ ≥ .5) for 1 pair, moderate (range, ρ ≥ .3 to ρ < .5) for 8 pairs, weak (range, ρ ≥ .1 to ρ < .3) for 5 pairs, and negligible (ρ < .1) for 14 pairs. Exploratory factor analysis revealed 4 underlying factors of quality in this sample. Pneumothorax, mortality in the NICU, and antenatal corticosteroid use loaded on factor 1; growth velocity and health care-associated infection loaded on factor 2; chronic lung disease loaded on factor 3; and discharge on any human breast milk loaded on factor 4.
conclusionIn this sample, the ability of individual measures of quality to explain overall quality of neonatal intensive care was modest.
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