Abstract
The authors of 3 articles in this issue of Pediatrics describe the impact of efforts to improve the quality of neonatal care across multiple institutions.1,–,3 Each article reports improved neonatal outcomes, namely reductions in neonatal infections, late-onset bacterial infections, and central-line–associated bloodstream infections, respectively. All 3 projects were “success stories.” Examined together, however, an intriguing aspect is the varying methodologies used to educate and instill reliable behavior change in participating providers and the resulting varying degrees of outcome improvement. Wirtschafter et al1 studied 27 participant institutions, compared with 27 control institutions, at which participant status meant that staff member(s) participated in at least 1 workshop or Webcast to learn about best practices and how to implement them. Toolkits that clearly defined best practices were freely available to both participant and control institutions. All institutions reported their neonatal infection rates as the main study outcome for a 2-year evaluation period; data on compliance with best practices were not assessed. Kaplan et al2 evaluated 24 institutions that participated in 3 day-long learning sessions and monthly Webinars to educate on best … Address correspondence to Marlene R. Miller, MD, MSc, Departments of Pediatrics and Health Policy and Management, Johns Hopkins University, 200 N Wolfe St, Room 2094, Baltimore, MD, 21287. E-mail: mmille21{at}jhmi.edu
Published Version
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