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Formal selection of measures for a composite index of NICU quality of care: Baby-MONITOR
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نویسنده
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Profit J ,Gould J B ,Zupancic J A F ,Stark A R ,Wall K M ,Kowalkowski M A ,Mei M ,Pietz K ,Thomas E J ,Petersen L A
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منبع
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journal of perinatology - 2011 - دوره : 31 - شماره : 11 - صفحه:702 -710
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چکیده
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Objective:to systematically rate measures of care quality for very low birth weight infants for inclusion into baby-monitor, a composite indicator of quality.study design:modified delphi expert panelist process including electronic surveys and telephone conferences. panelists considered 28 standard neonatal intensive care unit (nicu) quality measures and rated each on a 9-point scale taking into account pre-defined measure characteristics. in addition, panelists grouped measures into six domains of quality. we selected measures by testing for rater agreement using an accepted method.result:of 28 measures considered, 13 had median ratings in the high range (7 to 9). of these, 9 met the criteria for inclusion in the composite: antenatal steroids (median (interquartile range)) 9(0), timely retinopathy of prematurity exam 9(0), late onset sepsis 9(1), hypothermia on admission 8(1), pneumothorax 8(2), growth velocity 8(2), oxygen at 36 weeks postmenstrual age 7(2), any human milk feeding at discharge 7(2) and in-hospital mortality 7(2). among the measures selected for the composite, the domains of quality most frequently represented included effectiveness (40%) and safety (30%).conclusion:a panel of experts selected 9 of 28 routinely reported quality measures for inclusion in a composite indicator. panelists also set an agenda for future research to close knowledge gaps for quality measures not selected for the baby-monitor.
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آدرس
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Texas Children's Hospital, Department of Pediatrics, Section of Neonatology, USA. Baylor College of Medicine, Department of Medicine, Section of Health Services Research, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA, California Perinatal Quality Care Collaborative, USA. Stanford University, Division of Neonatology, Department of Pediatrics, Perinatal Epidemiology and Health Outcomes Research Unit, USA, Beth Israel Deaconess Medical Center, Department of Neonatology, USA. Harvard Medical School, Division of Newborn Medicine, Department of Pediatrics, USA, Texas Children's Hospital, Department of Pediatrics, Section of Neonatology, USA, Texas Children's Hospital, Department of Pediatrics, Section of Neonatology, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA. Emory University, Department of Epidemiology, USA, Baylor College of Medicine, Department of Medicine, Section of Health Services Research, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA, Baylor College of Medicine, Department of Medicine, Section of Health Services Research, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA, Baylor College of Medicine, Department of Medicine, Section of Health Services Research, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA, University of Texas—Memorial Hermann Center for Healthcare Quality and Safety, University of Texas Medical School, USA, Baylor College of Medicine, Department of Medicine, Section of Health Services Research, USA. Michael E DeBakey VA Medical Center, Health Policy and Quality Program, USA
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Authors
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