{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:16:50Z","timestamp":1789597010764,"version":"build-2803163510"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T00:00:00Z","timestamp":1503532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Perinatol"],"published-print":{"date-parts":[[2017,10]]},"DOI":"10.1038\/jp.2017.95","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T13:00:56Z","timestamp":1503579656000},"page":"1161-1165","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Identifying a quality improvement project"],"prefix":"10.1038","volume":"37","author":[{"given":"Lakshmi","family":"Katakam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautham K","family":"Suresh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2017,8,24]]},"reference":[{"key":"BFjp201795_CR1","unstructured":"Institute for Healthcare Improvement. Available from http:\/\/www.ihi.org\/resources\/Pages\/Changes\/default.aspx."},{"key":"BFjp201795_CR2","unstructured":"Kotter JP, Schlesinger LA . Choosing strategies for change. Harvard businessreview. 1979; 57 (2): 106\u2013114."},{"issue":"2","key":"BFjp201795_CR3","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1038\/jp.2016.216","volume":"37","author":"JR Swanson","year":"2017","unstructured":"Swanson JR, Pearlman SA . Roadmap to a successful quality improvement project. J Perinatol 2017; 37 (2): 112\u2013115.","journal-title":"J Perinatol"},{"issue":"1","key":"BFjp201795_CR4","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.clp.2010.01.003","volume":"37","author":"JD Horbar","year":"2010","unstructured":"Horbar JD, Soll RF, Edwards WH . The Vermont Oxford Network: a community of practice. Clin Perinatol 2010; 37 (1): 29\u201347.","journal-title":"Clin Perinatol"},{"issue":"8","key":"BFjp201795_CR5","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1038\/jp.2014.26","volume":"34","author":"K Murthy","year":"2014","unstructured":"Murthy K, Dykes FD, Padula MA, Pallotto EK, Reber KM, Durand DJ et al. The Children's Hospitals Neonatal Database: an overview of patient complexity, outcomes and variation in care. J Perinatol 2014; 34 (8): 582\u2013586.","journal-title":"J Perinatol"},{"issue":"6","key":"BFjp201795_CR6","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1053\/j.semperi.2016.05.002","volume":"40","author":"RD Higgins","year":"2016","unstructured":"Higgins RD, Shankaran S . The Neonatal Research Network: history since 2003, future directions and challenges. Semin Perinatol 2016; 40 (6): 337\u2013340.","journal-title":"Semin Perinatol"},{"issue":"1","key":"BFjp201795_CR7","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s12098-014-1585-2","volume":"82","author":"AR Spitzer","year":"2015","unstructured":"Spitzer AR, Ellsbury D, Clark RH . The Pediatrix BabySteps(R) Data Warehouse\u2014a unique national resource for improving outcomes for neonates. Indian J Pediatr 2015; 82 (1): 71\u201379.","journal-title":"Indian J Pediatr"},{"issue":"2","key":"BFjp201795_CR8","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/JPN.0000000000000092","volume":"29","author":"E Howard","year":"2015","unstructured":"Howard E, Jolles D . Navigating the perinatal quality landscape. J Perinat Neonatal Nurs 2015; 29 (2): 116\u2013129.","journal-title":"J Perinat Neonatal Nurs"},{"issue":"15","key":"BFjp201795_CR9","doi-asserted-by":"publisher","first-page":"1531","DOI":"10.1001\/jama.2014.13381","volume":"312","author":"EA Howell","year":"2014","unstructured":"Howell EA, Zeitlin J, Hebert PL, Balbierz A, Egorova N . Association between hospital-level obstetric quality indicators and maternal and neonatal morbidity. JAMA 2014; 312 (15): 1531\u20131541.","journal-title":"JAMA"},{"issue":"1","key":"BFjp201795_CR10","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1097\/00005237-200501000-00007","volume":"19","author":"CE Johnson","year":"2005","unstructured":"Johnson CE, Handberg E, Dobalian A, Gurol N, Pearson V . Improving perinatal and neonatal patient safety: the AHRQ patient safety indicators. J Perinat Neonatal Nurs 2005; 19 (1): 15\u201323.","journal-title":"J Perinat Neonatal Nurs"},{"issue":"6","key":"BFjp201795_CR11","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1097\/GCO.0b013e328332d1b0","volume":"21","author":"EK Main","year":"2009","unstructured":"Main EK . New perinatal quality measures from the National Quality Forum, the Joint Commission and the Leapfrog Group. Curr Opin Obstet Gynecol 2009; 21 (6): 532\u2013540.","journal-title":"Curr Opin Obstet Gynecol"},{"issue":"6","key":"BFjp201795_CR12","doi-asserted-by":"publisher","first-page":"e1723","DOI":"10.1542\/peds.2007-3247","volume":"121","author":"MC Scanlon","year":"2008","unstructured":"Scanlon MC, Harris JM 2nd, Levy F, Sedman A . Evaluation of the agency for healthcare research and quality pediatric quality indicators. Pediatrics 2008; 121 (6): e1723\u2013e1731.","journal-title":"Pediatrics"},{"issue":"2","key":"BFjp201795_CR13","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1097\/JPN.0b013e318215b9e5","volume":"25","author":"KR Simpson","year":"2011","unstructured":"Simpson KR . Perinatal patient safety and quality. J Perinat Neonatal Nurs 2011; 25 (2): 103\u2013107.","journal-title":"J Perinat Neonatal Nurs"},{"issue":"6","key":"BFjp201795_CR14","doi-asserted-by":"publisher","first-page":"1168","DOI":"10.1542\/peds.2011-1027","volume":"128","author":"RA Bush","year":"2011","unstructured":"Bush RA, Quigley EJ, Fox L, Garcia-Bassets I . Role of reputation in top pediatric specialties rankings. Pediatrics 2011; 128 (6): 1168\u20131172.","journal-title":"Pediatrics"},{"issue":"4","key":"BFjp201795_CR15","doi-asserted-by":"publisher","first-page":"e966","DOI":"10.1542\/peds.2010-3074","volume":"128","author":"C Feudtner","year":"2011","unstructured":"Feudtner C, Berry JG, Parry G, Hain P, Morse RB, Slonim AD et al. Statistical uncertainty of mortality rates and rankings for children's hospitals. Pediatrics 2011; 128 (4): e966\u2013e972.","journal-title":"Pediatrics"},{"issue":"3","key":"BFjp201795_CR16","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1002\/jhm.176","volume":"2","author":"LK Halasyamani","year":"2007","unstructured":"Halasyamani LK, Davis MM . Conflicting measures of hospital quality: ratings from \"Hospital Compare\" versus \"Best Hospitals\". J Hosp Med 2007; 2 (3): 128\u2013134.","journal-title":"J Hosp Med"},{"issue":"7149","key":"BFjp201795_CR17","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1136\/bmj.316.7149.1931","volume":"316","author":"GJ Parry","year":"1998","unstructured":"Parry GJ, Gould CR, McCabe CJ, Tarnow-Mordi WO . Annual league tables of mortality in neonatal intensive care units: longitudinal study. International Neonatal Network and the Scottish Neonatal Consultants and Nurses Collaborative Study Group. BMJ (Clin Res ed) 1998; 316 (7149): 1931\u20131935.","journal-title":"BMJ (Clin Res ed)"},{"key":"BFjp201795_CR18","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/ANC.0b013e3182862c99","volume":"13","author":"RL Bissinger","year":"2013","unstructured":"Bissinger RL, Mueller M, Cox TH, Cahill J, Garner SS, Irving M et al. Antibiotic timing in neonates with suspected hospital-acquired infections. Adv Neonatal Care 2013; 13: 22\u201328; quiz 9\u201330.","journal-title":"Adv Neonatal Care"},{"issue":"10","key":"BFjp201795_CR19","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1542\/hpeds.2016-0003","volume":"6","author":"A Elmekkawi","year":"2016","unstructured":"Elmekkawi A, More K, Shea J, Sperling C, Da Silva Z, Finelli M et al. Impact of stewardship on inhaled nitric oxide utilization in a neonatal ICU. Hosp Pediatr 2016; 6 (10): 607\u2013615.","journal-title":"Hosp Pediatr"},{"issue":"4","key":"BFjp201795_CR20","doi-asserted-by":"publisher","first-page":"e1264","DOI":"10.1542\/peds.2012-1857","volume":"131","author":"P Gelfer","year":"2013","unstructured":"Gelfer P, Cameron R, Masters K, Kennedy KA . Integrating \"Back to Sleep\" recommendations into neonatal ICU practice. Pediatrics 2013; 131 (4): e1264\u2013e1270.","journal-title":"Pediatrics"},{"issue":"2","key":"BFjp201795_CR21","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1111\/pan.13047","volume":"27","author":"BM Engorn","year":"2017","unstructured":"Engorn BM, Kahntroff SL, Frank KM, Singh S, Harvey HA, Barkulis CT et al. Perioperative hypothermia in neonatal intensive care unit patients: effectiveness of a thermoregulation intervention and associated risk factors. Paediatr Anaesth 2017; 27 (2): 196\u2013204.","journal-title":"Paediatr Anaesth"},{"issue":"6","key":"BFjp201795_CR22","doi-asserted-by":"publisher","first-page":"502","DOI":"10.5858\/arpa.2015-0252-LE","volume":"140","author":"S Khedr","year":"2016","unstructured":"Khedr S, Blake V, Erdogan E . Neonatal unit hemolysis rates from an academic medical center: a quality improvement project. Arch Pathol Lab Med 2016; 140 (6): 502\u2013503.","journal-title":"Arch Pathol Lab Med"},{"key":"BFjp201795_CR23","doi-asserted-by":"crossref","unstructured":"Oza-Frank R, Kachoria R, Dail J, Green J, Walls K, McClead RE Jr . A quality improvement project to decrease human milk errors in the NICU. Pediatrics 2017; 139 (2): e20154451.","DOI":"10.1542\/peds.2015-4451"},{"issue":"1","key":"BFjp201795_CR24","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1055\/s-0031-1286183","volume":"29","author":"GK Suresh","year":"2012","unstructured":"Suresh GK . Measuring patient safety in neonatology. Am J Perinatol 2012; 29 (1): 19\u201326.","journal-title":"Am J Perinatol"},{"issue":"1","key":"BFjp201795_CR25","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1046\/j.1525-1497.2003.20147.x","volume":"18","author":"EJ Thomas","year":"2003","unstructured":"Thomas EJ, Petersen LA . Measuring errors and adverse events in health care. J Gen Intern Med 2003; 18 (1): 61\u201367.","journal-title":"J Gen Intern Med"},{"key":"BFjp201795_CR26","volume-title":"Advances in Patient Safety: New Directions and Alternative Approaches (Vol 1: Assessment)","author":"AM Browne","year":"2008","unstructured":"Browne AM, Mullen R, Teets J, Bollig A, Steven J Common cause analysis: focus on institutional change. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds). Advances in Patient Safety: New Directions and Alternative Approaches (Vol 1: Assessment). Agency for Healthcare Research and Quality: Rockville, MD, USA, 2008."},{"key":"BFjp201795_CR27","volume-title":"The Improvement Guide","author":"GJ Langley","year":"2009","unstructured":"Langley GJ, Moen RD, Nolan KM, Nolan TW, Norman CL, Provost LP . The Improvement Guide. Jossey-Bass Publishers, Inc: San Francisco, CA, USA, 2009."},{"issue":"3","key":"BFjp201795_CR28","first-page":"27","volume":"20","author":"CJ Leininger","year":"2000","unstructured":"Leininger CJ, Seaman LH . Selecting clinical quality improvement projects: getting a bigger return for your investment. Top Health Inf Manage 2000; 20 (3): 27\u201334.","journal-title":"Top Health Inf Manage"},{"key":"BFjp201795_CR29","volume-title":"Leading change","author":"JP Kotter","year":"2012","unstructured":"Kotter JP . Leading change. Harvard Business Review Press: Boston, MA, USA, 2012."},{"key":"BFjp201795_CR30","unstructured":"National Institute for Childrens Healthcare Quality. Available from http:\/\/www.nichq.org\/how-we-improve\/resources\/qi-tips-sustaining-success."},{"issue":"Suppl 1","key":"BFjp201795_CR31","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1007\/s11606-009-1112-8","volume":"25","author":"DT Holt","year":"2010","unstructured":"Holt DT, Helfrich CD, Hall CG, Weiner BJ . Are you ready? How health professionals can comprehensively conceptualize readiness for change. J Gen Intern Med 2010; 25 (Suppl 1): 50\u201355.","journal-title":"J Gen Intern Med"},{"issue":"4","key":"BFjp201795_CR32","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1177\/1077558708317802","volume":"65","author":"BJ Weiner","year":"2008","unstructured":"Weiner BJ, Amick H, Lee SY . Conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields. Med Care Res Rev 2008; 65 (4): 379\u2013436.","journal-title":"Med Care Res Rev"},{"issue":"12","key":"BFjp201795_CR33","doi-asserted-by":"publisher","first-page":"e114338","DOI":"10.1371\/journal.pone.0114338","volume":"9","author":"MP Gagnon","year":"2014","unstructured":"Gagnon MP, Attieh R, Ghandour el K, Legare F, Ouimet M, Estabrooks CA et al. A systematic review of instruments to assess organizational readiness for knowledge translation in health care. PLoS ONE 2014; 9 (12): e114338.","journal-title":"PLoS ONE"},{"issue":"1","key":"BFjp201795_CR34","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1136\/bmjqs-2011-000010","volume":"21","author":"HC Kaplan","year":"2012","unstructured":"Kaplan HC, Provost LP, Froehle CM, Margolis PA . The Model for Understanding Success in Quality (MUSIQ): building a theory of context in healthcare quality improvement. BMJ Qual Saf 2012; 21 (1): 13\u201320.","journal-title":"BMJ Qual Saf"},{"issue":"6","key":"BFjp201795_CR35","doi-asserted-by":"publisher","first-page":"e1664","DOI":"10.1542\/peds.2013-2000","volume":"132","author":"D Fisher","year":"2013","unstructured":"Fisher D, Cochran KM, Provost LP, Patterson J, Bristol T, Metzguer K et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics 2013; 132 (6): e1664\u2013e1671.","journal-title":"Pediatrics"},{"issue":"3","key":"BFjp201795_CR36","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1542\/peds.2010-2141","volume":"127","author":"HC Kaplan","year":"2011","unstructured":"Kaplan HC, Lannon C, Walsh MC, Donovan EF . Ohio statewide quality-improvement collaborative to reduce late-onset sepsis in preterm infants. Pediatrics 2011; 127 (3): 427\u2013435.","journal-title":"Pediatrics"},{"key":"BFjp201795_CR37","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1542\/peds.137.Supplement_3.5A","volume":"137","author":"SW Patrick","year":"2016","unstructured":"Patrick SW, Schumacher RE, Horbar JD, Buus-Frank ME, Edwards EM, Morrow KA et al. Improving care for neonatal abstinence syndrome. Pediatrics 2016; 137: 5.","journal-title":"Pediatrics"},{"issue":"3","key":"BFjp201795_CR38","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1542\/peds.2009-1272","volume":"125","author":"NR Payne","year":"2010","unstructured":"Payne NR, Finkelstein MJ, Liu M, Kaempf JW, Sharek PJ, Olsen S . NICU practices and outcomes associated with 9 years of quality improvement collaboratives. Pediatrics 2010; 125 (3): 437\u2013446.","journal-title":"Pediatrics"},{"issue":"6","key":"BFjp201795_CR39","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/j.siny.2015.09.001","volume":"20","author":"J Profit","year":"2015","unstructured":"Profit J, Soll RF . Neonatal networks: clinical research and quality improvement. Semin Fetal Neonatal Med 2015; 20 (6): 410\u2013415.","journal-title":"Semin Fetal Neonatal Med"},{"issue":"3","key":"BFjp201795_CR40","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1542\/peds.2010-2873","volume":"127","author":"J Schulman","year":"2011","unstructured":"Schulman J, Stricof R, Stevens TP, Horgan M, Gase K, Holzman IR et al. Statewide NICU central-line-associated bloodstream infection rates decline after bundles and checklists. Pediatrics 2011; 127 (3): 436\u2013444.","journal-title":"Pediatrics"},{"issue":"3","key":"BFjp201795_CR41","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1542\/peds.2010-1449","volume":"127","author":"DD Wirtschafter","year":"2011","unstructured":"Wirtschafter DD, Powers RJ, Pettit JS, Lee HC, Boscardin WJ, Ahmad Subeh M et al. Nosocomial infection reduction in VLBW infants with a statewide quality-improvement model. Pediatrics 2011; 127 (3): 419\u2013426.","journal-title":"Pediatrics"},{"key":"BFjp201795_CR42","unstructured":"Wisconsin-Madison OoqiUo. Available from https:\/\/oqi.wisc.edu\/resourcelibrary\/uploads\/resources\/Project_Prioritization_Guide_v_1.pdf."}],"container-title":["Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/jp201795.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/jp201795","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.nature.com\/doifinder\/10.1038\/jp.2017.95","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/www.nature.com\/articles\/jp201795.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T14:30:16Z","timestamp":1647613816000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/jp201795"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,24]]},"references-count":42,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["BFjp201795"],"URL":"https:\/\/doi.org\/10.1038\/jp.2017.95","relation":{},"ISSN":["0743-8346","1476-5543"],"issn-type":[{"value":"0743-8346","type":"print"},{"value":"1476-5543","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,24]]},"assertion":[{"value":"30 March 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 May 2017","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 May 2017","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 August 2017","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no conflict of interest.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}