ReviewSeminars in fetal & neonatal medicine2021
Using rising tides to lift all boats: Equity-focused quality improvement as a tool to reduce neonatal health disparities.
Review in Seminars in fetal & neonatal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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.
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
39 citing papers in PubMed.
- Creating the Healthcare Racial Justice Assessment Tool (HC-RJAT): A Novel Tool to Identify Modifiable Loci of Structural Racism in the Healthcare Setting to Guide Equity-Focused Improvements.Journal of racial and ethnic health disparities · 2026Article
- Antenatal magnesium sulphate for neuroprotection of preterm babies: data analysis of inequities in treatment in England 2014 to 2024.BMJ open quality · 2026Article
- Diversity, equity, and inclusion considerations for anti-racist, equity-focused NICU family mental health.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Advancing equitable postpartum depression screening in a level-IV NICU: a quality improvement approach shaped by planned experimentation.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Sustained improvement in caregiver-reported infant demographic collection: a pilot towards equitable outcomes in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Staff perspectives on racial inequities in the neonatal intensive care unit: the REJOICE study.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Antenatal Prediction of Early Cord Clamping among Infants Born Extremely Preterm.The Journal of pediatrics · 2026Article
- Interventions for health equity with a One Health focus: a review of reviews.Frontiers in public health · 2026Article
- Advancing Equity: Lean Leader Practices and a Path Forward.The Milbank quarterly · 2025Article
- A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities.BMJ quality & safety · 2025Review
- Lessons from using the Normalisation Process Theory to understand adherence to guidance on MgSOImplementation science communications · 2025Article
- Lack of Parental Visitation as a Symptom, Not a Diagnosis: The Impact of Social Drivers of Health in the NICU.NeoReviews · 2025Article
- The role of QI collaboratives in neonatology.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Identifying barriers and facilitators to care for infants with bronchopulmonary dysplasia after NICU discharge: a prospective study of parents and clinical stakeholders.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Disparity drivers, potential solutions, and the role of a health equity dashboard in the neonatal intensive care unit: a qualitative study.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Reducing Physical Restraint Use in the Medical Behavioral Unit.Pediatrics · 2024Article
- Article
- A quality improvement initiative to reduce antibiotic use in transient tachypnea of the newborn.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Leveraging quality improvement to promote health equity: standardization of prenatal aspirin recommendations.BMC pregnancy and childbirth · 2023Article
- Structural Racism Operationalized via Adverse Social Events in a Single-Center Neonatal Intensive Care Unit.The Journal of pediatrics · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Evidence of health disparities affecting newborns abounds. Although quality improvement (QI) methodology is often suggested as a tool to advance health equity, the impact of QI initiatives on disparities is variable. QI work may mitigate, worsen, or perpetuate existing disparities. QI projects designed without an intentional focus on equity promotion may foster intervention-generated inequalities that further disadvantage vulnerable groups. This article reviews disparities in perinatal and neonatal care, the impact of QI on health disparities, and the concept of "Equity-Focused Quality Improvement" (EF-QI). EF-QI differs from QI with an equity lens in that it is action-oriented and centered around equity. EF-QI initiatives purposely integrate equity throughout the fabric of the project and are inclusive, collaborative efforts that foreground and address the needs of disadvantaged populations. EF-QI principles are applicable at every stage of project conception, execution, analysis, and dissemination, and may provide opportunities for reducing disparities in neonatal care.
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What OpenQuestion holds
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.