1. The International Network for Evaluating Outcomes of very low birth weight, very preterm neonates (iNeo): a protocol for collaborative comparisons of international health services for quality improvement in neonatal care
- Author
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Laura San Feliciano, Masanori Fujimura, R Haslam, Rintaro Mori, Lucia Mirea, Mark Raymond Adams, Neena Modi, Kei Lui, Gunnar Sjörs, Shoo K. Lee, Prakesh S. Shah, Stellan Håkansson, Brian A Darlow, Satoshi Kusuda, Brian Reichman, University of Zurich, Shah, Prakesh S, and Canadian Institutes of Health Research (CIHR)
- Subjects
Neonatal intensive care unit ,Quality management ,NEW-ZEALAND ,Pediatrics ,Study Protocol ,Child Development ,Clinical Protocols ,Infant Mortality ,1114 Paediatrics And Reproductive Medicine ,Infant, Very Low Birth Weight ,Hospital Mortality ,PREMATURE-INFANTS ,Bronchopulmonary Dysplasia ,education.field_of_study ,Cross Infection ,CHILD-HEALTH ,Neonatal networks ,NEWBORN-INFANTS ,Comparative analysis ,NATIONAL-INSTITUTE ,Pediatrik ,International Network for Evaluating Outcomes of Neonates (iNeo) ,3. Good health ,Outcome and Process Assessment, Health Care ,medicine.symptom ,Life Sciences & Biomedicine ,Infant, Premature ,medicine.medical_specialty ,Leukomalacia, Periventricular ,Population ,MEDLINE ,RISK-ADJUSTED OUTCOMES ,610 Medicine & health ,PATIENT VOLUME ,INTENSIVE-CARE ,WEEKS GESTATION ,Enterocolitis, Necrotizing ,Environmental health ,Intensive Care Units, Neonatal ,medicine ,Humans ,SINGLE-FAMILY ROOM ,Retinopathy of Prematurity ,Pediatrics, Perinatology, and Child Health ,2735 Pediatrics, Perinatology and Child Health ,Quality improvement ,education ,Intensive care medicine ,Very low birth weight infants ,Cerebral Hemorrhage ,Science & Technology ,business.industry ,Infant, Newborn ,International health ,Neonates ,Infant ,Outcome and Process Assessment (Health Care) ,10027 Clinic for Neonatology ,Child development ,Infant mortality ,Low birth weight ,Very preterm infants ,Pediatrics, Perinatology and Child Health ,Neonatology ,business - Abstract
Background: The International Network for Evaluating Outcomes in Neonates (iNeo) is a collaboration of population-based national neonatal networks including Australia and New Zealand, Canada, Israel, Japan, Spain, Sweden, Switzerland, and the UK. The aim of iNeo is to provide a platform for comparative evaluation of outcomes of very preterm and very low birth weight neonates at the national, site, and individual level to generate evidence for improvement of outcomes in these infants. Methods/design: Individual-level data from each iNeo network will be used for comparative analysis of neonatal outcomes between networks. Variations in outcomes will be identified and disseminated to generate hypotheses regarding factors impacting outcome variation. Detailed information on physical and environmental factors, human and resource factors, and processes of care will be collected from network sites, and tested for association with neonatal outcomes. Subsequently, changes in identified practices that may influence the variations in outcomes will be implemented and evaluated using quality improvement methods. Discussion: The evidence obtained using the iNeo platform will enable clinical teams from member networks to identify, implement, and evaluate practice and service provision changes aimed at improving the care and outcomes of very low birth weight and very preterm infants within their respective countries. The knowledge generated will be available worldwide with a likely global impact.
- Published
- 2014