Evidence map›Paper›PMID 38853654›Full record

ArticlePediatrics2024

Hospital Quality Indicators for Opioid-Exposed Infants: Results From an Expert Consensus Panel.

Jordan M Harrison, Bradley D Stein, Sarah F Loch, Scott A Lorch, Stephen W Patrick

Abstract readConsensus Statement
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Association between medication for opioid use disorder during pregnancy and neonatal outcomes.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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

5 authors.

Jordan M HarrisonRAND Corporation, Pittsburgh, Pennsylvania.
Bradley D SteinRAND Corporation, Pittsburgh, Pennsylvania.
Sarah F LochVanderbilt Center for Child Health Policy.
Scott A LorchDivision of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Stephen W PatrickRAND Corporation, Pittsburgh, Pennsylvania.

Funding

Developing Quality Measures for Opioid-Exposed InfantsR34DA054483 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LORCH, SCOTT A, PATRICK, STEPHEN W · 2022 to 2024
$847k
NIDA NIH HHS R34 DA054483
6 · The paper itself

Abstract

objectiveTo elicit expert consensus on quality indicators for the hospital-based care of opioid-exposed infants.

methodsWe used the ExpertLens online platform to conduct a 3-round modified Delphi panel. Expert panelists included health care providers, parents in recovery, quality experts, and public health experts. We identified 49 candidate quality indicators from a literature review and environmental scan. A total of 32 experts rated the importance and feasibility of the indicators using a 9-point Likert scale (Round 1), reviewed and discussed the initial ratings (round 2), and revised their original ratings (Round 3). Numeric scores corresponded with descriptive ratings of "low" (1-3), "uncertain" (4-6), or "high" (7-9). We measured consensus using the RAND/UCLA Appropriateness Method.

resultsCandidate quality indicators assessed structures, processes, and outcomes in multiple domains of clinical care. After the final round, 36 indicators were rated "high" on importance and feasibility. Experts had strong consensus on the importance of quality indicators to assess universal screening of pregnant people for substance use disorder, hospital staff training, standardized assessment for neonatal opioid withdrawal syndrome, nonpharmacologic interventions, and transitions of care. For indicators focused on processes and outcomes, experts saw feasibility as dependent on the information routinely documented in electronic medical records or billing records. To present a more complete picture of hospital quality, experts suggested development of composite measures that summarize quality across multiple indicators.

conclusionsA panel of experts reached consensus on a range of quality indicators for hospital-based care of opioid-exposed infants, with potential for use in national benchmarking, intervention studies, or hospital performance measurement.

Indexed as

Analgesics, OpioidDelphi TechniqueQuality Indicators, Health CareFemaleHospitalsHumansInfantInfant, NewbornNeonatal Abstinence SyndromePregnancyAnalgesics, Opioid

Identifiers

PMID38853654
PMCPMC11214929

What OpenQuestion holds

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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.