RT Journal Article
SR Electronic
T1 Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial: a protocol for a multicentre, stepped-wedge cluster randomized trial
JF CMAJ Open
JO CMAJ
FD Canadian Medical Association
SP E397
OP E403
DO 10.9778/cmajo.20220177
VO 11
IS 3
A1 Mehrem, Ayman Abou
A1 Toye, Jennifer
A1 Aziz, Khalid
A1 Benzies, Karen
A1 Alshaikh, Belal
A1 Johnson, David
A1 Faris, Peter
A1 Soraisham, Amuchou
A1 McNeil, Deborah
A1 Al Hamarneh, Yazid N.
A1 Foss, Karen
A1 Foulston, Charlotte
A1 Johns, Christine
A1 Zimmermann, Gabrielle L.
A1 Zein, Hussein
A1 Hendson, Leonora
A1 Kumaran, Kumar
A1 Price, Dana
A1 Singhal, Nalini
A1 Shah, Prakesh S.
YR 2023
UL http://www.cmajopen.ca/content/11/3/E397.abstract
AB Background: Evidence-based Practice for Improving Quality (EPIQ) is a collaborative quality improvement method adopted by the Canadian Neonatal Network that led to decreased mortality and morbidity in very preterm neonates. The Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial aims to evaluate the impact of EPIQ collaborative quality improvement strategies in moderate and late preterm neonates in Alberta, Canada.Methods: In a 4-year, multicentre, stepped-wedge cluster randomized trial involving 12 neonatal intensive care units (NICUs), we will collect baseline data with the current practices in the first year (all NICUs in the control arm). Four NICUs will transition to the intervention arm at the end of each year, with 1 year of follow-up after the last group transitions to the intervention arm. Neonates born at 32 + 0 to 36 + 6 weeks’ gestation with primary admission to NICUs or postpartum units will be included. The intervention includes implementation of respiratory and nutritional care bundles using EPIQ strategies, including quality improvement team building, quality improvement education, bundle implementation, quality improvement mentoring and collaborative networking. The primary outcome is length of hospital stay; secondary outcomes include health care costs and short-term clinical outcomes. Neonatal intensive care unit staff will complete a survey in the first year to assess quality improvement culture in each unit, and a sample will be interviewed 1 year after implementation in each unit to evaluate the implementation process.Interpretation: The ABC-QI Trial will assess whether collaborative quality improvement strategies affect length of stay in moderate and late preterm neonates. It will provide detailed population-based data to support future research, benchmarking and quality improvement. Trial registration: ClinicalTrials.gov, no. NCT05231200