Perspectives magazine is an annual glossy supporting the Mount Sinai Hospital Auxiliary, Mount Sinai Hospital and the Samuel Lunenfeld Research Institute.
Issue link: http://read.uberflip.com/i/468121
18 Research Network for Evaluation of Outcomes in Neonates (iNeo), the Canadian Pediatric Surgery Network (CAPSNet), the WHO Perinatal Surveillance Project, and the newly established Canadian Neonatal Transport Network (CNTN). Each network has a research database that is hosted and maintained at MiCare. The CNN was founded by Dr. Shoo Lee in 1995 and is now directed by Dr. Prakesh Shah. CNN is a group of researchers, clinicians, administrators, professional bodies, and community groups from across Canada who collaborate on disease and patient-oriented research, health services research, and quality improvement projects relating to neonatal care. The CNN now includes over 100 members from all 30 Canadian NICUs, which span 17 universities across Canada. The information generated by the CNN through its national neonatal database has been invaluable to Canadian NICUs for auditing, quality improvement, and research. The CNFUN and CNTN are sister networks focused on neurodevelopmental outcomes and neonatal transport, respectively. They maintain national databases linked to CNN so that researchers can examine the entire episode of care and study the relationship with long- term developmental outcomes. Established in 2012 by Dr. Prakesh Shah, iNeo is a collaboration of population-based national neonatal networks including Australia and New Zealand, Canada, Israel, Japan, Spain, Sweden, Switzerland, and the UK. The aim of iNeo is to provide a framework for participating countries to compare outcomes of very preterm and very low birth weight infants at the individual, site, and national level, and to provide evidence for quality improvement activities within each network. To date, each country has submitted 4 years of retrospective data to MiCare and the data is being analysed. The first set of results comparing neonatal outcomes between countries is expected by mid-2014. Under the direction of Dr. Shoo Lee and Dr. Prakesh Shah, the research team at MiCare is also conducting the Evidence-based Practice for Improving Quality (EPIQ) project in neonatal care. The aim of the EPIQ project is to develop and test quality improvement initiatives that effectively, efficiently, and rapidly translate knowledge into improved quality-of-care, better patient outcomes, and reduced health-care costs. EPIQ is a multi-faceted approach that combines the best available evidence with centre-specific data to identify centre-specific needs for targeted changes in practice. The goal is to change both institution-specific organizational culture and individual behaviour, so that barriers to change can be overcome and practice change sustained. After being initially tested in 12 NICUs, the EPIQ study has been expanded to cover all NICUs in Canada and target neonatal mortality and morbidity. By the end of 2012, in the participating NICUs neonatal survival without major problems had increased by 8% and hospital-acquired infection had decreased by 23%, necrotizing enterocolitis by 21%, and retinopathy of prematurity by 23%, with an estimated 10% reduction in length of neonatal hospital stay. EPIQ has now been adopted by hospitals in many countries, including Sweden, China, Malaysia, India, Columbia, Ecuador, Peru, Chile, Argentina, and Brazil. iNeo International Network for Evaluating Outcomes in neonates