Neonatal outcomes and quality of care in level II perinatal centers supported by a children's hospital-medical school level III program. |
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| Authors: | Robert T Hall Susan R Santos Susan L Teasley Mary Jean Brown |
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| Institution: | Children's Mercy Hospitals & Clinics/University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, USA. |
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| Abstract: | OBJECTIVE: Eight Level II perinatal centers developed contracts with the children's hospital to provide consultative neonatal patient care, education, and administrative support. The purpose of the present study was to evaluate infant outcomes and quality of care during a 3-year period of the program, 1994 to 1996. STUDY DESIGN: Neonatal mortality rates were determined for the 18,703 live births. Quality of care was assessed for 30 infants who died at the Level II centers and 315 infants transferred to the children's hospital. RESULTS: The neonatal mortality rate was 2.2/1000 live births. Quality-of-care issues primarily involved 80 "drop-in" deliveries
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