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Safety for neonatal intensive care unit (NICU) patients is essential for care of the most vulnerable infants and their families. Education and adaptation of practices that have evidence-based results can lead to improvement in outcomes, even for the most critically ill neonates. 1 There are many reviews of quality improvement initiatives in NICUs to reduce complications. 2 , 3 , 4 , 5 Adverse events can be reduced through quality-improvement methodology. 6
