Nutaqsiivik--an approach to reducing infant mortality using quality improvement principles

Qual Manag Health Care. 2001 Spring;9(3):40-6. doi: 10.1097/00019514-200109030-00005.


The Alaska Native Medical Center, one of nine teams that participated in the Institute for Health Care Improvement's Community-Wide Learning Collaborative, used quality improvement principles to address a disparately high post-neonatal infant mortality in the Anchorage Native infant population. A unique concept, "Days Between Deaths," was used to measure mortality change for a small data set. Ongoing evaluation processes have demonstrated a fifty percent reduction in infant mortality and very successful approaches to care for high social risk women and their families.

MeSH terms

  • Alaska / epidemiology
  • Community Health Nursing / organization & administration*
  • Cooperative Behavior
  • Data Interpretation, Statistical
  • Female
  • Health Services Accessibility
  • Humans
  • Infant
  • Infant Mortality*
  • Infant, Newborn
  • Inuit / statistics & numerical data*
  • Needs Assessment
  • Perinatal Care / organization & administration*
  • Pregnancy
  • Pregnancy, High-Risk
  • Program Evaluation
  • Risk Assessment
  • Software Design
  • Total Quality Management / methods*
  • Total Quality Management / statistics & numerical data