The Swiss Neonatal Quality Cycle, a monitor for clinical performance and tool for quality improvement

Adams, Mark; Hoehre, Tjade Claus; Bucher, Hans Ulrich; Swiss Neonatal Network, the (2013). The Swiss Neonatal Quality Cycle, a monitor for clinical performance and tool for quality improvement. BMC pediatrics, 13, p. 152. BioMed Central 10.1186/1471-2431-13-152

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BACKGROUND We describe the setup of a neonatal quality improvement tool and list which peer-reviewed requirements it fulfils and which it does not. We report on the so-far observed effects, how the units can identify quality improvement potential, and how they can measure the effect of changes made to improve quality. METHODS Application of a prospective longitudinal national cohort data collection that uses algorithms to ensure high data quality (i.e. checks for completeness, plausibility and reliability), and to perform data imaging (Plsek's p-charts and standardized mortality or morbidity ratio SMR charts). The collected data allows monitoring a study collective of very low birth-weight infants born from 2009 to 2011 by applying a quality cycle following the steps 'guideline - perform - falsify - reform'. RESULTS 2025 VLBW live-births from 2009 to 2011 representing 96.1% of all VLBW live-births in Switzerland display a similar mortality rate but better morbidity rates when compared to other networks. Data quality in general is high but subject to improvement in some units. Seven measurements display quality improvement potential in individual units. The methods used fulfil several international recommendations. CONCLUSIONS The Quality Cycle of the Swiss Neonatal Network is a helpful instrument to monitor and gradually help improve the quality of care in a region with high quality standards and low statistical discrimination capacity.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute of Legal Medicine > Forensic Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Neonatology

UniBE Contributor:

Höhre, Tjade Claus

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-2431

Publisher:

BioMed Central

Language:

English

Submitter:

André Schaller

Date Deposited:

10 Apr 2014 15:27

Last Modified:

12 Dec 2014 09:41

Publisher DOI:

10.1186/1471-2431-13-152

PubMed ID:

24074151

BORIS DOI:

10.7892/boris.50247

URI:

https://boris.unibe.ch/id/eprint/50247

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