TY - JOUR T1 - Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial: a protocol for a multicentre, stepped-wedge cluster randomized trial JF - CMAJ Open JO - CMAJ SP - E397 LP - E403 DO - 10.9778/cmajo.20220177 VL - 11 IS - 3 AU - Ayman Abou Mehrem AU - Jennifer Toye AU - Khalid Aziz AU - Karen Benzies AU - Belal Alshaikh AU - David Johnson AU - Peter Faris AU - Amuchou Soraisham AU - Deborah McNeil AU - Yazid N. Al Hamarneh AU - Karen Foss AU - Charlotte Foulston AU - Christine Johns AU - Gabrielle L. Zimmermann AU - Hussein Zein AU - Leonora Hendson AU - Kumar Kumaran AU - Dana Price AU - Nalini Singhal AU - Prakesh S. Shah Y1 - 2023/05/01 UR - http://www.cmajopen.ca/content/11/3/E397.abstract N2 - Background: Evidence-based Practice for Improving Quality (EPIQ) is a collaborative quality improvement method adopted by the Canadian Neonatal Network that led to decreased mortality and morbidity in very preterm neonates. The Alberta Collaborative Quality Improvement Strategies to Improve Outcomes of Moderate and Late Preterm Infants (ABC-QI) Trial aims to evaluate the impact of EPIQ collaborative quality improvement strategies in moderate and late preterm neonates in Alberta, Canada.Methods: In a 4-year, multicentre, stepped-wedge cluster randomized trial involving 12 neonatal intensive care units (NICUs), we will collect baseline data with the current practices in the first year (all NICUs in the control arm). Four NICUs will transition to the intervention arm at the end of each year, with 1 year of follow-up after the last group transitions to the intervention arm. Neonates born at 32 + 0 to 36 + 6 weeks’ gestation with primary admission to NICUs or postpartum units will be included. The intervention includes implementation of respiratory and nutritional care bundles using EPIQ strategies, including quality improvement team building, quality improvement education, bundle implementation, quality improvement mentoring and collaborative networking. The primary outcome is length of hospital stay; secondary outcomes include health care costs and short-term clinical outcomes. Neonatal intensive care unit staff will complete a survey in the first year to assess quality improvement culture in each unit, and a sample will be interviewed 1 year after implementation in each unit to evaluate the implementation process.Interpretation: The ABC-QI Trial will assess whether collaborative quality improvement strategies affect length of stay in moderate and late preterm neonates. It will provide detailed population-based data to support future research, benchmarking and quality improvement. Trial registration: ClinicalTrials.gov, no. NCT05231200 ER -