Exploring variation in quality of care and clinical outcomes between neonatal units: a novel use for the UK National Neonatal Audit Programme (NNAP)
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Published:2022-10
Issue:4
Volume:11
Page:e002017
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ISSN:2399-6641
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Container-title:BMJ Open Quality
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language:en
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Short-container-title:BMJ Open Qual
Author:
Ismail Abdul-Qader TahirORCID,
Boyle Elaine M,
Oddie Sam,
Pillay Thillagavathie
Abstract
Neonatology is a relatively new specialty, in which much of the practice remains non-evidence based. Variation in the quality of care delivered is recognised but measuring this is challenging. One possible indicator of this is variation in practice. For more than a decade, the National Neonatal Audit Project (NNAP) has described variation in practice between UK neonatal units in relation to its annually reviewed audit measures. These are based on evidence based national standards or developed by a consensus method and have become de facto measures defining good quality of neonatal healthcare within the UK. In this article we explore the practicality of using the NNAP to look for associations between quality of care and outcomes. This would not be to validate the measures but could help towards a better understanding of the reasons underlying recognised variation in outcomes, even between neonatal units of the same designation.
Funder
Health Services and Delivery Research Programme
Subject
Public Health, Environmental and Occupational Health,Health Policy,Leadership and Management
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