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methodology to determine root factors that cause the quality space including (1) inconsistent reporting of objective pain scales; (2) variable provider recommending patterns; and (3) variable provider bedside assessment of discomfort. These causes were addressed by two interventions (1) standardized stating for the premature infant discomfort profile scores and (2) utilization of an analgesia administration pathway. Constant good airway pressure (CPAP) and surfactant both enhan
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