Quality Improvement in Neonatal and Perinatal Medicine, An Issue of Clinics in Perinatology

Dan Ellsbury, Alan R. Spitzer

Description

This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.

Sujets

• Medical
• Médecine
• Pediatrics

Informations

• Publié par: Saunders
• Date de parution: 29 avril 2010
• Nombre de lectures: 1
• EAN13: 9781455700530
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Clinics in Perinatology , Vol. 37, No. 1, March 2010
ISSN: 0095-5108
doi: 10.1016/S0095-5108(10)00027-8

Contributors
Clinics in Perinatology
Quality Improvement in Neonatal and Perinatal Medicine
Alan R. Spitzer, MD
Pediatrix Medical Group, 1301 Concord Terrace, Sunrise, FL 33323, USA
Dan L. Ellsbury, MD
CQI, Pediatrix Medical Group, 1301 Concord Terrace, Sunrise, FL 33323, USA
ISSN  0095-5108
Volume 37 • Number 1 • March 2010

Contents
Cover
Contributors
CME Accreditation Page and Author Disclosure
Forthcoming issues
Preface
Crossing the Quality Chasm in Neonatal-Perinatal Medicine
Evaluating the Medical Evidence for Quality Improvement
The Vermont Oxford Network: A Community of Practice
The Pediatrix BabySteps® Data Warehouse and the Pediatrix QualitySteps Improvement Project System—Tools for “Meaningful Use” in Continuous Quality Improvement
The Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model
A Primer on Quality Improvement Methodology in Neonatology
Navigating in the Turbulent Sea of Data: The Quality Measurement Journey
Human Factors and Quality Improvement
Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis
Pay for Performance in Neonatal-Perinatal Medicine—Will the Quality of Health Care Improve in the Neonatal Intensive Care Unit? A Business Model for Improving Outcomes in the Neonatal Intensive Care Unit
Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes
Delivery Room Intervention: Improving the Outcome
Comprehensive Oxygen Management for the Prevention of Retinopathy of Prematurity: The Pediatrix Experience
Improving the Use of Human Milk During and After the NICU Stay
Decreasing Central Line Associated Bloodstream Infection in Neonatal Intensive Care
Quality Improvement in Respiratory Care: Decreasing Bronchopulmonary Dysplasia
Index
Clinics in Perinatology , Vol. 37, No. 1, March 2010
ISSN: 0095-5108
doi: 10.1016/j.clp.2010.03.004

CME Accreditation Page and Author Disclosure

Goal Statement
The goal of Clinics in Perinatology is to keep practicing neonatologists and maternal-fetal medicine specialists up to date with current clinical practice in perinatology by providing timely articles reviewing the state of the art in patient care.

Accreditation
The Clinics in Perinatology is planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Virginia School of Medicine and Elsevier.
The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Virginia School of Medicine designates this educational activity for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 60 credits per year. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 60 credits per year.
Credit can be earned by reading the text material, taking the CME examination online at http://www.theclinics.com/home/cme , and completing the evaluation. After taking the test, you will be required to review any and all incorrect answers. Following completion of the test and evaluation, your credit will be awarded and you may print your certificate.

Faculty Disclosure/Conflict of Interest
The University of Virginia School of Medicine, as an ACCME accredited provider, endorses and strives to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines on the need for disclosure and monitoring of proprietary and financial interests that may affect the scientific integrity and balance of content delivered in continuing medical education activities under our auspices.
The University of Virginia School of Medicine requires that all CME activities accredited through this institution be developed independently and be scientifically rigorous, balanced and objective in the presentation/discussion of its content, theories and practices.
All authors/editors participating in an accredited CME activity are expected to disclose to the readers relevant financial relationships with commercial entities occurring within the past 12 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The University of Virginia School of Medicine will employ appropriate mechanisms to resolve potential conflicts of interest to maintain the standards of fair and balanced education to the reader. Questions about specific strategies can be directed to the Office of Continuing Medical Education, University of Virginia School of Medicine, Charlottesville, Virginia.
The faculty and staff of the University of Virginia Office of Continuing Medical Education have no financial affiliations to disclose.
The authors/editors listed below have identified no professional or financial affiliations for themselves or their spouse/partner:
Robert Boyle, MD (Test Author); Nicholas E. Bruns, BA; William H. Edwards, MD; Neil N. Finer, MD; Jay P. Goldsmith, MD; James Gray, MD; Darren Handler, BS; James Handyside, BSc; Carla Holloway (Acquisitions Editor); Susan Landers, MD; Tina Leone, MD; Aloka L. Patel, MD; Robert H. Pfister, MD; Wade D. Rich, RRT, CCRC; and Gautham Suresh, MD.
The authors/editors listed below identified the following professional or financial affiliations for themselves or their spouse/partner:
Reese H. Clark, MD is employed by Pediatrix Medical Group.
Dan L. Ellsbury, MD (Guest Editor) is employed by Pediatrix Medical Group.
Janet L. Engstrom, RN, PhD, CNM, WHNP-BC is an industry funded research/investigaor for Medela, Inc.
Jeffrey B. Gould, MD, MPH serves on the Advisory Committee for Paradigm Health.
Jeffrey D. Horbar, MD is employed by Vermont Oxford Network.
Briana J. Jegier, PhD is an industry funded research/investigaor for Medela, Inc.
Robert C. Lloyd, PhD is employed by the Institute for Healthcare Improvement; is on the Advisory Committee/Board Institute for Healthcare Improvement and Advocate Health; and is a consultant for Principal of R. C. Lloyd & Associates.
Paula P. Meier, RN, DNSc, FAAN is an industry funded research/investigator and consultant for Medela, Inc.
Richard J. Powers, MD serves on the Speakers Bureau for MedImmune and Ovation Pharmaceuticals.
Dale P. Reisner, MD is employed by and owns stock in Mednax/Obstetrix.
Roger F. Soll, MD is president of the Vermont Oxford Network, and is the coordinating editor for the Cochrane Review Group.
Alan R. Spitzer, MD (Guest Editor) is employed by and owns stock in Mednax.
Robert Ursprung, MD, MMSc is employed by Mednax, and is on the Advisory Committee/Board for Vermont Oxford Network.
David W. Wirtschafter, MD is President of David D Wirtschafter, MD, Inc., and is a consultant for California Children’s Services, Department of Healthcare Services, State of California.
Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical Devices.
The University of Virginia School of Medicine, as an ACCME provider, requires that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. The University of Virginia School of Medicine recommends that each physician fully review all the available data on new products or procedures prior to clinical use.

To Enroll
To enroll in the Clinics in Perinatology Continuing Medical Education program, call customer service at 1-800-654-2452 or visit us online at www.theclinics.com/home/cme . The CME program is available to subscribers for an additional fee of $195.00
Clinics in Perinatology , Vol. 37, No. 1, March 2010
ISSN: 0095-5108
doi: 10.1016/S0095-5108(10)00030-8

Forthcoming issues
Clinics in Perinatology , Vol. 37, No. 1, March 2010
ISSN: 0095-5108
doi: 10.1016/j.clp.2010.01.017

Preface

Alan R. Spitzer, MD
Pediatrix Medical Group, 1301 Concord Terrace, Sunrise, FL 33323, USA
E-mail address: [e-mail]
E-mail address: [e-mail]

Dan L. Ellsbury, MD ,
CQI, Pediatrix Medical Group, 1301 Concord Terrace, Sunrise, FL 33323, USA
Mercy Medical Center, Des Moines, IA, USA
E-mail address: [e-mail]
E-mail address: [e-mail]


Alan R. Spitzer, MD Guest Editor

Dan L. Ellsbury, MD Guest Editor
As we enter the second decade of the new millennium, the breathtaking changes occurring in medicine represent some of the most significant advances in the delivery of health care since World War II. Not only does the science of medicine continue to progress at an astonishing pace, but the manner in which patients receive the benefits of this science is also changing dramatically. Transparency is the key word in this process. No longer is a paternalistic physician attitude acceptable; “Trust me, I’m the doctor” has no