Electronic letters to:

Research:
Shoo K. Lee, Khalid Aziz, Nalini Singhal, Catherine M. Cronin, Andrew James, David S.C. Lee, Derek Matthew, Arne Ohlsson, Koravangattu Sankaran, Mary Seshia, Anne Synnes, Robin Walker, Robin Whyte, Joanne Langley, Ying C. MacNab, Bonnie Stevens, and Peter von Dadelszen
Improving the quality of care for infants: a cluster randomized controlled trial
CMAJ 2009; 181: 469-476 [Abstract] [Full text] [PDF]
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[Read eLetter] X's and O's in the inverse groups?
David D Wirtschafter   (20 August 2009)

X's and O's in the inverse groups? 20 August 2009
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David D Wirtschafter
David D Wirtschafter, MD, Inc.

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Re: X's and O's in the inverse groups?

david.wirtschafter{at}juno.com David D Wirtschafter

Lee and colleagues have presented an intriguing evaluation of 2 QI interventions in their NICUs. The pulmonary group implemented only 23% of their own selected potentially useful practices, but with good effect. The infection group showed no pulmonary change. Collection and presentation of the NI group's pulmonary practices would have enhanced the reader's ability to judge which of the implemented practices were associated with change, and in turn, corroborated the pulmonary's group's judgment that 47% of the practices were not of high priority in affecting change. Similarly, the inverse presentation of infection prevention practices from the pulmonary group would have been similarly instructive. I would encourage the investigators to make these data available.

Conflict of Interest:

None declared