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Neonatal near-miss audits: a systematic review and a call to action.

Poliana de Barros MedeirosCheryl BaileyDanielle PollockHelen G LileyAdrienne GordonChristine J AndrewsVicki J Flenady
Published in: BMC pediatrics (2023)
There was little data available to determine the effectiveness of clinical audits of NNM. While trials randomised at patient level to test our research question would be difficult or unethical for both NNM and perinatal death audits, other strategies such as large, well-designed before-and-after studies within services or comparisons between services could contribute evidence. This review supports a Call to Action for NNM audits. Adoption of formal audit methodology, standardised NNM definitions, evaluation of parent's engagement and measurement of the effectiveness of quality improvement cycles for improving outcomes are needed.
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