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      Quality Improvement in Respiratory Care: Decreasing Bronchopulmonary Dysplasia

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      Clinics in Perinatology

      Elsevier BV

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          Abstract

          Chronic lung disease (CLD) is one of the most common long-term complications in very preterm infants. Bronchopulmonary dysplasia (BPD) is the most common cause of CLD in infancy. Modern neonatal respiratory care has witnessed the emergence of a new BPD that exhibits decreased fibrosis and emphysema, but also decreased alveolar septation, and microvascular development. CLD encompasses the classic and the new BPD, and recognizes that lung injury can occur in term infants who need aggressive ventilatory support and who develop lung injury as a result, and that CLD is a multisystem disease. Controversy exists on whether quality improvement (QI) methods that implement multiple interventions will be effective in limiting pathology with multiple causes. Caution in generalization of QI findings is encouraged. QI methods toward improvement in CLD or any other outcome should be considered as a tool for implementing evidence and studying the effects of change in complex adaptive systems. Copyright 2010 Elsevier Inc. All rights reserved.

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          Author and article information

          Journal
          Clinics in Perinatology
          Clinics in Perinatology
          Elsevier BV
          00955108
          March 2010
          March 2010
          : 37
          : 1
          : 273-293
          10.1016/j.clp.2010.01.015
          20363459
          © 2010

          https://www.elsevier.com/tdm/userlicense/1.0/

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