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Moyer VA, Papile LA, Eichenwald E, Giardino AP, Khan MM, Singh H. BMJ Qual Saf. 2014;23:e3.
This AHRQ-funded cohort study used insights from a failure modes and effects analysis to provide dedicated health coaching and enhanced personal health records to families with infants being discharged from a neonatal intensive care unit. Despite the robust effort, there were no differences in post-discharge adverse events, which occurred in approximately half of the infants.