Neonatal Intensive Care Unit Collaboration to Decrease Hospital-Acquired Bloodstream Infections: From Comparative Performance Reports to Improvement Networks

作者：Schulman Joseph^*; Wirtschafter David D; Kurtin Paul

来源：Pediatric Clinics of North America, 2009, 56(4): 865-+.

DOI：10.1016/j.pcl.2009.06.001

• Quality improvement
• Performance evaluation
• Risk adjustment
• Central line associated bloodstream infection
• Improvement networks
• High reliability organization

This two-part article provides a general guide to thinking about data-driven clinical performance evaluation and describes two statewide improvement networks anchored in such comparisons. Part 1 examines key ideas for making fair comparisons among providers. Part 2 describes the development of a data-driven collaborative that aims to reduce central line associated bloodstream infections in neonatal ICUs across New York State, and a more mature collaborative in California that has already succeeded in reducing these infections; it provides sufficient detail and tools to be of practical help to others seeking to create such networks. The content illustrates concepts with broad applicability for pediatric quality improvement.

• 出版日期2009-8