| Title | Estimating the quality of neonatal transport in California. |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Gould JB, Danielsen BH, Bollman L, Hackel A, Murphy B |
| Journal | J Perinatol |
| Volume | 33 |
| Issue | 12 |
| Pagination | 964-70 |
| Date Published | 2013 Dec |
| ISSN | 1476-5543 |
| Keywords | Benchmarking, California, Canada, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Logistic Models, Quality of Health Care, Risk Adjustment, ROC Curve, Transportation of Patients |
| Abstract | 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. |
| DOI | 10.1038/jp.2013.57 |
| Alternate Journal | J Perinatol |
| PubMed ID | 24071907 |
