Improving inhaled Nitric Oxide (iNO) use in a tertiary level NICU: decreasing cost and standardizing usage of iNO through quality improvement methodology

Dr. Jennifer Twiss, Assistant Professor, Division of Neonatology

Dr. Eman al Johani, Neonatal Perinatal Medicine fellow

Use of iNO in the preterm population for hypoxemic respiratory failure is controversial and currently off label.  After a chart review, our center was identified as having high rates of use of iNO in this population, therefore a quality improvement study was designed to decrease the off label usage of iNO and standardize our approach to using iNO, with the anticipated effect of decreasing the associated cost.


  1. Review the choices of QI tools and methodology used during this project.
  2. To discuss challenges in launching interventions that require testing prior to implementation, and seek feedback on how to move through these challenges

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s