{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T21:55:32Z","timestamp":1786398932192,"version":"build-2736575974"},"reference-count":36,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND AND OBJECTIVE:<\/jats:title>\n                  <jats:p>Despite advances in neonatal medicine, infants requiring neonatal intensive care continue to experience substantial morbidity and mortality. The purpose of this initiative was to generate large-scale simultaneous improvements in multiple domains of care in a large neonatal network through a program called the \u201c100,000 Babies Campaign.\u201d<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Key drivers of neonatal morbidity and mortality were identified. A system for retrospective morbidity and mortality review was used to identify problem areas for project prioritization. NICU system analysis and staff surveys were used to facilitate reengineering of NICU systems in 5 key driver areas. Electronic health record\u2013based automated data collection and reporting were used. A quality improvement infrastructure using the Kotter organizational change model was developed to support the program.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>From 2007 to 2013, data on 422\u2009877 infants, including a subset with birth weight of 501 to 1500 g (n = 58\u2009555) were analyzed. Key driver processes (human milk feeding, medication use, ventilator days, admission temperature) all improved (P &amp;lt; .0001). Mortality, necrotizing enterocolitis, retinopathy of prematurity, bacteremia after 3 days of life, and catheter-associated infection decreased. Survival without significant morbidity (necrotizing enterocolitis, severe intraventricular hemorrhage, severe retinopathy of prematurity, oxygen use at 36 weeks\u2019 gestation) improved.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Implementation of a multifaceted quality improvement program that incorporated organizational change theory and automated electronic health record\u2013based data collection and reporting program resulted in major simultaneous improvements in key neonatal processes and outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2015-0389","type":"journal-article","created":{"date-parts":[[2016,3,2]],"date-time":"2016-03-02T13:18:02Z","timestamp":1456924682000},"source":"Crossref","is-referenced-by-count":101,"title":["A Multifaceted Approach to Improving Outcomes in the NICU: The Pediatrix 100\u2009000 Babies Campaign"],"prefix":"10.1542","volume":"137","author":[{"given":"Dan L.","family":"Ellsbury","sequence":"first","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reese H.","family":"Clark","sequence":"additional","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ursprung","sequence":"additional","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren L.","family":"Handler","sequence":"additional","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth D.","family":"Dodd","sequence":"additional","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan R.","family":"Spitzer","sequence":"additional","affiliation":[{"name":"The Center for Research, Education and Quality, Pediatrix Medical Group, Sunrise, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,4,1]]},"reference":[{"issue":"2","key":"2021120919133126900_B1","doi-asserted-by":"crossref","first-page":"147.e1","DOI":"10.1016\/j.ajog.2006.09.014","article-title":"Trends in neonatal morbidity and mortality for very low birthweight infants.","volume":"196","author":"Fanaroff","year":"2007","journal-title":"Am J Obstet Gynecol"},{"issue":"6","key":"2021120919133126900_B2","doi-asserted-by":"crossref","first-page":"1019","DOI":"10.1542\/peds.2011-3028","article-title":"Mortality and neonatal 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