ArticlePediatrics2014
Implementation methods for delivery room management: a quality improvement comparison study.
Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 8. Neonatal resuscitation.Clinical and experimental emergency medicine · 2021Guideline
- Golden hour(s) quality improvement protocols and their effect on outcomes in preterm infants ≤ 32 weeks of gestation: a scoping review.BMC pediatrics · 2025Article
- Quality improvement collaboratives: A neonatal perspective.Seminars in perinatology · 2025Review
- "It's a priority": a qualitative analysis of the implementation of a maternal equity safety bundle in Massachusetts.Implementation science communications · 2025Article
- 28 NICUs participating in a quality improvement collaborative targeting early-onset sepsis antibiotic use.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Electronic Heart (ECG) Monitoring at Birth and Newborn Resuscitation.Children (Basel, Switzerland) · 2024Article
- Vignette Research Methodology: An Essential Tool for Quality Improvement Collaboratives.Healthcare (Basel, Switzerland) · 2022Article
- Does active treatment in infants born at 22-23 weeks correlate with outcomes of more mature infants at the same hospital? An analysis of California NICU data, 2015-2019.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Quality improvement for neonatal resuscitation and delivery room care.Seminars in perinatology · 2022Review
- A standardized implementation of multicenter quality improvement program of very low birth weight newborns could significantly reduce admission hypothermia and improve outcomes.BMC pediatrics · 2022Article
- Improving Newborn Resuscitation by Making Every Birth a Learning Event.Children (Basel, Switzerland) · 2021Review
- Building the First Statewide Quality Improvement Collaborative, the CPQCC: A Historic Perspective.Children (Basel, Switzerland) · 2020Article
- Perinatal quality improvement bundle to decrease hypothermia in extremely low birthweight infants with birth weight less than 1000 g: single-center experience over 6 years.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020Article
- Survival Without Major Morbidity Among Very Low Birth Weight Infants in California.Pediatrics · 2020Article
- Hypothermia in Preterm Newborns: Impact on Survival.Global pediatric health · 2020Article
- Hospitalization costs associated with bronchopulmonary dysplasia in the first year of life.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Racial and Ethnic Differences Over Time in Outcomes of Infants Born Less Than 30 Weeks' Gestation.Pediatrics · 2019Article
- Accelerating Improvement in Children's Healthcare Through Quality Improvement Collaboratives: A Synthesis of Recent Efforts.Current treatment options in pediatrics · 2019Article
- Quality Improvement Project to Decrease Delivery Room Intubations in Preterm Infants.Pediatrics · 2019Article
- Eliminating Risk of Intubation in Very Preterm Infants with Noninvasive Cardiorespiratory Support in the Delivery Room and Neonatal Intensive Care Unit.BioMed research international · 2019Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundThere is little evidence to compare the effectiveness of large collaborative quality improvement versus individual local projects.
methodsThis was a prospective pre-post intervention study of neonatal resuscitation practice, comparing 3 groups of nonrandomized hospitals in the California Perinatal Quality Care Collaborative: (1) collaborative, hospitals working together through face-to-face meetings, webcasts, electronic mailing list, and data sharing; (2) individual, hospitals working independently; and (3) nonparticipant hospitals. The collaborative and individual arms participated in improvement activities, focusing on reducing hypothermia and invasive ventilatory support.
resultsThere were 20 collaborative, 31 individual, and 44 nonparticipant hospitals caring for 12,528 eligible infants. Each group had reduced hypothermia from baseline to postintervention. The collaborative group had the most significant decrease in hypothermia, from 39% to 21%, compared with individual hospital efforts of 38% to 33%, and nonparticipants of 42% to 34%. After risk adjustment, the collaborative group had twice the magnitude of decrease in rates of newborns with hypothermia compared with the other groups. Collaborative improvement also led to greater decreases in delivery room intubation (53% to 40%) and surfactant administration (37% to 20%).
conclusionsCollaborative efforts resulted in larger improvements in delivery room outcomes and processes than individual efforts or nonparticipation. These findings have implications for planning quality improvement projects for implementation of evidence-based practices.
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