Professional Education


  • Bachelor of Social Work, University of British Columbia (2005)
  • Bachelor of Arts, University of British Columbia (2003)
  • Doctor of Philosophy, University of California San Francisco (2015)

Stanford Advisors


All Publications


  • Patient- and Family-Centered Care as a Dimension of Quality AMERICAN JOURNAL OF MEDICAL QUALITY Dhurjati, R., Sigurdson, K., Profit, J. 2019; 34 (3): 307–8
  • Racial/Ethnic Disparities in Neonatal Intensive Care: A Systematic Review. Pediatrics Sigurdson, K., Mitchell, B., Liu, J., Morton, C., Gould, J. B., Lee, H. C., Capdarest-Arest, N., Profit, J. 2019

    Abstract

    Racial and ethnic disparities in health outcomes of newborns requiring care in the NICU setting have been reported. The contribution of NICU care to disparities in outcomes is unclear.To conduct a systematic review of the literature documenting racial/ethnic disparities in quality of care for infants in the NICU setting.Medline/PubMed, Scopus, Cumulative Index of Nursing and Allied Health, and Web of Science were searched until March 6, 2018, by using search queries organized around the following key concepts: "neonatal intensive care units," "racial or ethnic disparities," and "quality of care."English language articles up to March 6, 2018, that were focused on racial and/or ethnic differences in the quality of NICU care were selected.Two authors independently assessed eligibility, extracted data, and cross-checked results, with disagreements resolved by consensus. Information extracted focused on racial and/or ethnic disparities in quality of care and potential mechanism(s) for disparities.Initial search yielded 566 records, 470 of which were unique citations. Title and abstract review resulted in 382 records. Appraisal of the full text of the remaining 88 records, along with the addition of 5 citations from expert consult or review of bibliographies, resulted in 41 articles being included.Quantitative meta-analysis was not possible because of study heterogeneity.Overall, this systematic review revealed complex racial and/or ethnic disparities in structure, process, and outcome measures, most often disadvantaging infants of color, especially African American infants. There are some exceptions to this pattern and each area merits its own analysis and discussion.

    View details for DOI 10.1542/peds.2018-3114

    View details for PubMedID 31358664

  • Disparities in Health Care-Associated Infections in the NICU. American journal of perinatology Liu, J., Sakarovitch, C., Sigurdson, K., Lee, H. C., Profit, J. 2019

    Abstract

     This study aimed to examine multilevel risk factors for health care-associated infection (HAI) among very low birth weight (VLBW) infants with a focus on race/ethnicity and its association with variation in infection across hospitals. This is a population-based cohort study of 20,692 VLBW infants born between 2011 and 2015 in the California Perinatal Quality Care Collaborative. Risk-adjusted infection rates varied widely across neonatal intensive care units (NICUs), ranging from 0 to 24.6% across 5 years. Although Hispanic infants had higher odds of HAI overall, race/ethnicity did not affect the variation in infection rates. Non-Hispanic black mothers were more likely to receive care in NICUs within the top tertile of infection risk. Yet, among NICUs in this tertile, infants across all races and ethnicities suffered similar high rates of infection. Hispanic infants had higher odds of infection. We found significant variation in infection across NICUs, even after accounting for factors usually associated with infection.

    View details for PubMedID 31039596

  • Patient- and Family-Centered Care as a Dimension of Quality. American journal of medical quality : the official journal of the American College of Medical Quality Dhurjati, R., Sigurdson, K., Profit, J. 2018: 1062860618814312

    View details for PubMedID 30501498

  • Correction: Disparities in NICU quality of care: a qualitative study of family and clinician accounts. Journal of perinatology : official journal of the California Perinatal Association Sigurdson, K., Morton, C., Mitchell, B., Profit, J. 2018

    Abstract

    The original HTML version of this Article incorrectly showed the copyright holder to be 'Nature America, Inc., part of Springer Nature', when the correct copyright holder is 'The Authors 2018'. This has been corrected in the HTML version of the Article. The PDF version was correct from the time of publication.

    View details for PubMedID 30042468

  • Never judge a book by its cover: how NICU evaluators reach conclusions about quality of care. Journal of perinatology : official journal of the California Perinatal Association Dhurjati, R., Wahid, N., Sigurdson, K., Morton, C. H., Kaplan, H. C., Gould, J. B., Profit, J. 2018

    Abstract

    OBJECTIVE: To identify key features in the NICU care delivery context that influence quality of care delivery.STUDY DESIGN: Qualitative study using in-depth, semi-structured interviews with 10 NICU quality experts with extensive experience conducting NICU site visits and evaluating quality of care. Analyses were performed using the method of constant comparison based on grounded theory.RESULTS: Qualitative analysis yielded three major themes: (1) the foundation for high quality care is a cohesive unit culture, characterized by open communication, teamwork, and engagement of families; (2) effective linkages between measurement and improvement action is necessary for continuous improvement; and (3) NICU capacity for improvement is sustained by active support, exchange of skills, and resources from the hospital.CONCLUSIONS: Team cohesion, engagement of families, culture of improvement supported by measurement and institutional support from the hospital are some of the key contextual and managerial features critical to high-quality NICU care.

    View details for PubMedID 29593356