title: Nutaqsiivik--an approach to reducing infant mortality using quality improvement principles.
abstract: 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.
authors.forename: M
authors.initials: M
authors.lastname: Pierce-Bulger
authors.forename: T
authors.initials: T
authors.lastname: Nighswander
mesh_terms: D000413:Alaska / Q000453:epidemiology; D003152:Community Health Nursing / Q000458:organization & administration*; D003299:Cooperative Behavior; D003627:Data Interpretation, Statistical; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007226:Infant Mortality; D007231:Infant, Newborn; D004930:Inuit / Q000706:statistics & numerical data*; D020380:Needs Assessment; D018743:Perinatal Care / Q000458:organization & administration*; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D015397:Program Evaluation; D018570:Risk Assessment; D012985:Software Design; D017749:Total Quality Management / Q000379:methods* / Q000706:statistics & numerical data