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Estimating the quality of neonatal transport in California.

CPQCC Publication
TitleEstimating the quality of neonatal transport in California.
Publication TypeJournal Article
Year of Publication2013
AuthorsGould JB, Danielsen BH, Bollman L, Hackel A, Murphy B
JournalJ Perinatol
Date Published2013 Dec
KeywordsBenchmarking, California, Canada, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Logistic Models, Quality of Health Care, Risk Adjustment, ROC Curve, Transportation of Patients

OBJECTIVE: To develop a strategy to assess the quality of neonatal transport based on change in neonatal condition during transport.

STUDY DESIGN: The Canadian Transport Risk Index of Physiologic Stability (TRIPS) score was optimized for a California (Ca) population using data collected on 21 279 acute neonatal transports, 2007 to 2009, using models predicting (2/3) and validating (1/3) mortality within 7 days of transport. Quality Change Point 10th percentile (QCP10), a benchmark of the greatest deterioration seen in 10% of the transports by top-performing teams, was established.

RESULT: Compared with perinatal variables (0.79), the Ca-TRIPS had a validation receiver operator characteristic area for prediction of death of 0.88 in all infants and 0.86 in infants transported after day 7. The risk of death increased 2.4-fold in infants whose deterioration exceeded the QCP10.

CONCLUSION: We present a practical, benchmarked, risk-adjusted, estimate of the quality of neonatal transport.

Alternate JournalJ Perinatol
PubMed ID24071907