Shared decision making in neonatal quality improvement

Jamie B. Warren, Nikki Wiggins

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Since the Institute of Medicine published Crossing the Quality Chasm in 2001, healthcare systems have become more focused on improving the quality of healthcare delivery. At Oregon Health & Science University and Doernbecher Children's Hospital, we recognize the need to take an interprofessional, team-based approach to improving the care we provide to our current and future patients. We describe here an ongoing quality improvement project in the Doernbecher Neonatal Intensive Care Unit (NICU), with specific attention to the factors we believe have contributed to the implementation and early success of the project. These factors include the history of quality improvement work in our NICU and in the field of neonatology, the "dyad leadership" structure under which we operate in our NICU, and our developing understanding of the concept of "team intelligence." These elements have led to the formation of a team that can practice shared decision making and work as one to realize a shared goal.

Original languageEnglish (US)
Pages (from-to)237-239
Number of pages3
JournalJournal of Perinatal and Neonatal Nursing
Issue number3
StatePublished - 2016
Externally publishedYes


  • Interprofessional relations
  • Leadership
  • Neonatal intensive care unit
  • Quality improvement
  • Shared decision making

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery


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