It sounds simple, but actually it turns out to be very complicated and controversial.
The question is are we improving our NICU ? Has our NICU performance remained the same for the past few years?
What about the performance of our NICU staff members (Medical and Nursing ) ? Are they improving themselves?
That was the easy part.
Now the difficult part.
We can only improve a thing which can be measured. So to improve our NICU, we have to m