Skip to content

Variation in quality report viewing by providers and correlation with NICU quality metrics.

CPQCC Publication
TitleVariation in quality report viewing by providers and correlation with NICU quality metrics.
Publication TypeJournal Article
Year of Publication2017
AuthorsWahid N, Bennett MV, Gould JB, Profit J, Danielsen B, Lee HC
JournalJ Perinatol
Date Published2017 07
KeywordsCalifornia, Cross Infection, Humans, Infant, Newborn, Infant, Very Low Birth Weight, Intensive Care Units, Neonatal, Logistic Models, Medical Audit, Outcome Assessment (Health Care), Steroids

BACKGROUND: To examine variation in quality report viewing and assess correlation between provider report viewing and neonatal intensive care unit (NICU) quality.

METHODS: Variation in report viewing sessions for 129 California Perinatal Quality Care Collaborative NICUs was examined. NICUs were stratified into tertiles based on their antenatal steroid (ANS) use and hospital-acquired infection (HAI) rates to compare report viewing session counts.

RESULTS: The number of report viewing sessions initiated by providers varied widely over a 2-year period (median=11; mean=25.5; s.d.=45.19 sessions). Report viewing was not associated with differences in ANS use. Facilities with low HAI rates had less frequent report viewing. Facilities with high report views had significant improvements in HAI rates over time.

CONCLUSIONS: Available audit and feedback reports are utilized inconsistently across California NICUs despite evidence that report viewing is associated with improvements in quality of care delivery. Further studies are needed for reports to reach their theoretical potential.

Alternate JournalJ Perinatol
PubMed ID28383536