Developing a Respiratory Quality Improvement Program to Prevent and Treat Bronchopulmonary Dysplasia in the Neonatal Intensive Care Unit

Clin Perinatol. 2023 Jun;50(2):363-380. doi: 10.1016/j.clp.2023.01.003. Epub 2023 Mar 21.


Improvements in respiratory care have resulted in improved outcomes for preterm infants over the past three decades. To target the multifactorial nature of neonatal lung diseases, neonatal intensive care units (NICUs) should consider developing comprehensive respiratory quality improvement programs that address all drivers of neonatal respiratory disease. This article presents a potential framework for developing a quality improvement program to prevent bronchopulmonary dysplasia in the NICU. Drawing on available research and quality improvement reports, the authors discuss key components, measures, drivers, and interventions that should be considered when building a respiratory quality improvement program devoted to preventing and treating bronchopulmonary dysplasia.

Keywords: Bronchopulmonary dysplasia; Mechanical ventilation; Noninvasive ventilation; Respiratory quality improvement.

Publication types

  • Review

MeSH terms

  • Bronchopulmonary Dysplasia* / prevention & control
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature
  • Intensive Care Units, Neonatal*
  • Quality Improvement