Scott, Emily K.Downs, Stephen M.Pottenger, Amy K.Bien, James P.Saysana, Michele S.2021-04-132021-04-132020-08-01Scott, E. K., Downs, S. M., Pottenger, A. K., Bien, J. P., & Saysana, M. S. (2020). Enhancing Safe Sleep Counseling by Pediatricians through a Quality Improvement Learning Collaborative. Pediatric Quality & Safety, 5(4), e327. https://doi.org/10.1097/pq9.00000000000003272472-0054https://hdl.handle.net/1805/25622Background: Approximately, 3,500 infants die annually from sleep-related infant deaths in the United States. We sought to improve pediatricians’ counseling on safe sleep from birth through 6 months of age through a virtual quality improvement learning collaborative (QILC). Our aim was appropriate screening, counseling, and documentation of safe sleep advice in 75% of eligible patient encounters after the QILC. Methods: We formed a 9-month QILC for inpatient and outpatient pediatricians. Pediatricians collected data on safe sleep documentation in a newborn discharge or well-child visit note. Data were submitted at baseline and in 9 subsequent phases. Participants met monthly via a webinar, which included a QI presentation, data review, and facilitated discussion among participants. Practices were contacted 12 months after the conclusion of the QILC to assess sustainment. Results: Thirty-four pediatricians from 4 inpatient and 9 outpatient practices participated in the QILC. At baseline, documentation of safe sleep practices varied greatly (0%–98%). However, by the end of the QILC, all participating practices were documenting safe sleep guidance in over 75% of patient encounters. Aggregate practice data show a significant, sustained improvement. The 12-month follow-up data were submitted from 62% of practices, with sustainment of improvement in 75% of practices. Conclusion: A facilitated, virtual QILC is an effective methodology to improve safe sleep counseling among a diverse group of pediatric practices. It is one step in improving consistent messaging around safe sleep by healthcare providers as pediatricians work to decrease sleep-related infant deaths.en-USAttribution-NonCommercial-NoDerivatives 4.0 Internationalquality improvement learning collaborativeSafe Sleep Counselingsleep-related infant deathsArticle