ArticleCMAJ open
Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial: a protocol for a multicentre, stepped-wedge cluster randomized trial.
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Alberta (AB) Collaborative Quality Improvement Strategies to Improve Outcomes of Preterm Infants 32 - 36 Weeks' Gestation: A Stepped-Wedge Cluster Randomized Trial
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20 authors.
Ayman Abou MehremDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont. a.aboumehrem@ucalgary.ca.
Jennifer ToyeDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Khalid AzizDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Karen BenziesDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Belal AlshaikhDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
David JohnsonDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Peter FarisDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Amuchou SoraishamDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Deborah McNeilDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Yazid N Al HamarnehDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Karen FossDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Charlotte FoulstonDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Christine JohnsDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Gabrielle L ZimmermannDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Hussein ZeinDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Leonora HendsonDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Kumar KumaranDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Dana PriceDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Nalini SinghalDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Prakesh S ShahDepartment of Pediatrics (Abou Mehrem, Alshaikh, Johnson, Soraisham, Foulston, Zein, Hendson, Price, Singhal), Cumming School of Medicine and Alberta Children's Hospital Research Institute (Abou Mehrem, Benzies, Alshaikh, Johnson, Soraisham, McNeil, Hendson, Singhal), University of Calgary, Calgary, Alta.; Department of Pediatrics (Toye, Kumaran) and Office of Lifelong Learning (Aziz), Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta.; Faculty of Nursing (Benzies), University of Calgary, Calgary, Alta.; Alberta Health Services (Faris, Foss, Foulston, Johns), Edmonton, Alta.; Community Health Sciences (Faris, McNeil, Zimmermann), Cumming School of Medicine, University of Calgary, Calgary, Alta.; Alberta SPOR SUPPORT Unit (Al Hamarneh, Zimmermann); Department of Pharmacology (Al Hamarneh), Faculty of Medicine and Dentistry, University of Alberta; Covenant Health (Foss), Edmonton, Alta.; Department of Pediatrics (Shah), Mount Sinai Hospital; Department of Pediatrics (Shah), University of Toronto, Toronto, Ont.
Funding
CIHR 178288
Abstract
backgroundEvidence-based Practice for Improving Quality (EPIQ) is a collaborative quality improvement method adopted by the Canadian Neonatal Network that led to decreased mortality and morbidity in very preterm neonates. The Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial aims to evaluate the impact of EPIQ collaborative quality improvement strategies in moderate and late preterm neonates in Alberta, Canada.
methodsIn a 4-year, multicentre, stepped-wedge cluster randomized trial involving 12 neonatal intensive care units (NICUs), we will collect baseline data with the current practices in the first year (all NICUs in the control arm). Four NICUs will transition to the intervention arm at the end of each year, with 1 year of follow-up after the last group transitions to the intervention arm. Neonates born at 32 + 0 to 36 + 6 weeks' gestation with primary admission to NICUs or postpartum units will be included. The intervention includes implementation of respiratory and nutritional care bundles using EPIQ strategies, including quality improvement team building, quality improvement education, bundle implementation, quality improvement mentoring and collaborative networking. The primary outcome is length of hospital stay; secondary outcomes include health care costs and short-term clinical outcomes. Neonatal intensive care unit staff will complete a survey in the first year to assess quality improvement culture in each unit, and a sample will be interviewed 1 year after implementation in each unit to evaluate the implementation process.
interpretationThe ABC-QI Trial will assess whether collaborative quality improvement strategies affect length of stay in moderate and late preterm neonates. It will provide detailed population-based data to support future research, benchmarking and quality improvement.
trial registrationClinicalTrials.gov, no. NCT05231200.
Indexed as
Infant, PrematurePremature BirthAlbertaFemaleGestational AgeHumansInfantInfant, NewbornIntensive Care Units, NeonatalMulticenter Studies as TopicQuality ImprovementRandomized Controlled Trials as Topic
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Registered trials
NCT05231200ClinicalTrials.gov
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