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BMJ 2004;329 (30 October), doi:10.1136/bmj.329.7473.0-a
Training in quality improvement, comprising audit and feedback and evidence based education and support, can enhance the treatment with surfactant of preterm babies. In a cluster randomised controlled trial at 114 hospitals Horbar and colleagues (p 1004) found that, among 6039 infants of 23-29 weeks' gestation, babies in the training group hospitals received surfactant more often and sooner after birth than those born in control hospitals.
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Credit: GARRY WATSON/SPL
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