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The problem
Intervention: Standardized best-practice bundle (BPB) for unplanned extubation prevention, implemented sequentially and uniformly across the neonatal intensive care unit
Who it was tested with: Neonates in a neonatal intensive care unit, stratified by race/ethnicity (including non-Hispanic Black infants), preferred primary language, and insurance status (Medicaid vs. other).
The same group is measured before the intervention and again afterwards, with a baseline and an endline and sometimes a midline. Change is visible, but other causes cannot be ruled out.
"Using the Model for Improvement, the QI team implemented the BPB components sequentially and uniformly across the neonatal intensive care unit. Data collection continued throughout implementation." The researchers measured unplanned extubation rates before and after implementing a standardized bundle across multiple demographic groups to assess both effectiveness and equity impact.
Single-site secondary analysis without a comparison group; causal attribution of improvement to specific bundle components cannot be determined; mechanisms underlying baseline disparities not explored
Across countries and designs
1 study · 1 country
