Evidence map›Paper›PMID 40858912›Full record

ReviewJournal of perinatology : official journal of the California Perinatal Association2026

Ethical considerations in quality improvement.

Stephen A Pearlman, Peter D Murray, Roopali Bapat

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Stephen A PearlmanChristianaCare, Newark, DE, USA. SPearlman@Christianacare.org.ORCID http://orcid.org/0000-0003-3027-8794
Peter D MurrayUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
Roopali BapatNationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-2139-936X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinicians have an ethical responsibility to improve care while safeguarding patients from harm. This ethical imperative drives the implementation of Quality Improvement (QI) initiatives aimed at enhancing patient outcomes. In comparison to human subjects' research, QI efforts may have different ethical considerations that seem less well defined. This article explores the ethical complexities in neonatal and perinatal QI work associated with designing, conducting, and disseminating QI projects. QI efforts should be grounded in ethical tenets such as beneficence, non-maleficence, justice, and respect for autonomy particularly when applied to vulnerable populations such as neonates. By recognizing the ethical considerations unique to QI, investigators can promote transparency and context-aware practices, thereby improving the rigor, reproducibility, and safety of their initiatives. Thoughtful design and implementation can ensure that QI efforts are both ethically sound and clinically impactful, enhancing their trustworthiness and applicability across diverse clinical settings. CLINICAL TRIAL REGISTRATION (IF ANY): None.

Indexed as

Quality ImprovementBeneficenceHumansInfant, Newborn

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.