ArticleJournal of perinatology : official journal of the California Perinatal Association2020
A multidisciplinary quality improvement effort to reduce bronchopulmonary dysplasia incidence.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- Decreasing early invasive mechanical ventilation exposure in preterm infants: a quality improvement initiative.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Epigenetic modifications in the development of bronchopulmonary dysplasia: a review.Pediatric research · 2024Review
- Managing established bronchopulmonary dysplasia without using routine blood gas measurements.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Synergistic effects of achieving perinatal interventions on bronchopulmonary dysplasia in preterm infants.European journal of pediatrics · 2024Article
- Respiratory support strategies in the prevention of bronchopulmonary dysplasia: A single center quality improvement initiative.Frontiers in pediatrics · 2022Article
- Association of time of first corticosteroid treatment with bronchopulmonary dysplasia in preterm infants.Pediatric pulmonology · 2021Article
- Developing a Unit-Based Quality Improvement Program in a Large Neonatal ICU.Joint Commission journal on quality and patient safety · 2021Article
- Fluid balance in early postnatal life: Should we keep the babies dry to prevent bronchopulmonary dysplasia?Pediatric research · 2021Article
- Nasal Intermittent Positive Pressure Ventilation: Guideline Implementation Guided by Practice Preference Measurement.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBronchopulmonary Dysplasia (BPD) is the most common prematurity complication. Although several practices have been proposed for BPD prevention, none of these in isolation prevent BPD.
methodsOur initiative focused on two key drivers: oxygen management and noninvasive ventilation strategies. We created best practice guidelines and followed outcome measures using Shewhart control charts.
resultsPDSAs of protocols preceded a large-scale rollout of a "0.21 by 28" campaign in 2014 leading to a special cause reduction in the "any BPD" rate, and a decrease in severe BPD (from 57 to 29%). At the end of 2017, we reinvigorated the project, which led to dramatic decreases in the "any BPD" rate to 41% and the "severe BPD" rate to 21%.
conclusionsA multidisciplinary QI initiative focused on process improvement geared towards the pathophysiological contributors of BPD has successfully reduced the rate of BPD in an all referral level IV NICU.
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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.