Evidence map›Paper›PMID 32770031›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

A quality improvement project improving the value of iNO utilization in preterm and term infants.

Hannah Fischer, Tamina Singh, Lori Devlin, Olugbemisola Obi, Tonya Robinson, Seth Schultz, Sucheta Telang, Scott Duncan

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Do quality improvement projects require IRB approval?Journal of perinatology : official journal of the California Perinatal Association · 2021
    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

8 authors.

Hannah Fischer *Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA. hmryan01@louisville.edu.ORCID http://orcid.org/0000-0002-9417-0929
Tamina Singh *Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Lori DevlinDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Olugbemisola ObiDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Tonya RobinsonDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Seth SchultzDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Sucheta TelangDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.
Scott DuncanDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInhaled NO (iNO) is used in the NICU for management of hypoxemic respiratory failure. The cost of iNO is significant and does not consistently improve outcomes in infants <34 weeks. PROJECT

designOur team used The Model for Improvement to design a quality improvement project to utilize iNO for appropriate indications, ensure response to therapy and initiate timely weaning. The project was carried out at a Level IV NICU and successful interventions spread to a smaller Level III NICU.

resultsThis project demonstrated significant improvement in all measures; total iNO hours per month, average iNO hours per patient, and the percentage of prolonged iNO courses. With an estimated cost of $115/h, the cost per patient for iNO use declined by half from $21,620 to $10,580.

conclusionsOur team improved the value of iNO utilization at our institution and spread successful interventions to another NICU in our network.

Indexed as

Quality ImprovementRespiratory InsufficiencyAdministration, InhalationHumansInfantInfant, NewbornNitric OxideNitric Oxide

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.