The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates.
OBJECTIVE: To examine the extent to which performance assessment methods affect the percentage of neonatal intensive care units (NICUs) and very low-birth-weight (VLBW) infants included in performance assessments, the distribution of NICU performance ratings, and the level of agreement in those ratings. DESIGN: Cross-sectional study based on risk-adjusted nosocomial infection rates. SETTING: NICUs belonging to the California Perinatal Quality Care Collaborative 2007-2008. PARTICIPANTS: One hundred twenty-six California NICUs and 10 487 VLBW infants. MAIN EXPOSURES: Three performance assessment choices: (1) excluding "low-volume" NICUs (those caring for
Lee HC, Chien AT, Bardach NS, Clay T, Gould JB, R Dudley A. "The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates." Arch Pediatr Adolesc Med. 2011;165(5):429-34.PubMed