A comprehensive framework design for continuous quality improvement within the neonatal intensive care unit: Integration of the SPOE, CRISP-DM and PaJMa models

Continuous quality improvement is an important component of contemporary health care. This paper proposes a comprehensive framework for quality improvement in health care that integrates the SPOE, CRISP-DM and PaJMa models to support clinician decision-making for the improvement of clinical process and outcomes. The framework is demonstrated using late onset neonatal sepsis as a case study where the quality improvement activity is the implementation of a clinical decision support system that processes and analyses multiple, high fidelity physiological data streams in real-time to support clinical decision-making.