ArticleQuality & safety in health care2005
Using real time process measurements to reduce catheter related bloodstream infections in the intensive care unit.
Article in Quality & safety in health care, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01413009 (Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Awakening-Breathing Coordination, Delirium Monitoring/Management & Early Mobility (ABCDE) Protocol
Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevention of central line-associated bloodstream infections through quality improvement interventions: a systematic review and meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014Pooled it
- The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration.Quality & safety in health care · 2008Guideline
- A multidisciplinary comprehensive nursing Management Approach for Catheter-related bloodstream infections.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025Article
- Development of a Tool for Measuring Ventilator-Associated Pneumonia Prevention Behaviors of Intensive Care Unit Nurses.International journal of environmental research and public health · 2022Review
- Effectiveness of an algorithm-based care pathway for patients with non-valvular atrial fibrillation presenting to the emergency department.Journal of the American College of Emergency Physicians open · 2022Article
- Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools.Journal of patient safety · 2020Article
- Checklist design and implementation: critical considerations to improve patient safety for low-frequency, high-risk patient events.BMJ simulation & technology enhanced learning · 2020Article
- An experimental study on the impact of clinical interruptions on simulated trainee performances of central venous catheterization.Advances in simulation (London, England) · 2017Article
- Use of bundled interventions, including a checklist to promote compliance with aseptic technique, to reduce catheter-related bloodstream infections in the intensive care unit.Paediatrics & child health · 2014Review
- Measuring competence in central venous catheterization: a systematic-review.SpringerPlus · 2014Article
- A multicenter quasi-experimental study: impact of a central line infection control program using auditing and performance feedback in five Belgian intensive care units.Antimicrobial resistance and infection control · 2013Article
- Reducing blood culture contamination in the emergency department: an interrupted time series quality improvement study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013Article
- Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm.Chest · 2010Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
problemMeasuring a process of care in real time is essential for continuous quality improvement (CQI). Our inability to measure the process of central venous catheter (CVC) care in real time prevented CQI efforts aimed at reducing catheter related bloodstream infections (CR-BSIs) from these devices.
designA system was developed for measuring the process of CVC care in real time. We used these new process measurements to continuously monitor the system, guide CQI activities, and deliver performance feedback to providers.
settingAdult medical intensive care unit (MICU). KEY MEASURES FOR IMPROVEMENT: Measured process of CVC care in real time; CR-BSI rate and time between CR-BSI events; and performance feedback to staff. STRATEGIES FOR CHANGE: An interdisciplinary team developed a standardized, user friendly nursing checklist for CVC insertion. Infection control practitioners scanned the completed checklists into a computerized database, thereby generating real time measurements for the process of CVC insertion. Armed with these new process measurements, the team optimized the impact of a multifaceted intervention aimed at reducing CR-BSIs. EFFECTS OF CHANGE: The new checklist immediately provided real time measurements for the process of CVC insertion. These process measures allowed the team to directly monitor adherence to evidence-based guidelines. Through continuous process measurement, the team successfully overcame barriers to change, reduced the CR-BSI rate, and improved patient safety. Two years after the introduction of the checklist the CR-BSI rate remained at a historic low. LESSONS LEARNT: Measuring the process of CVC care in real time is feasible in the ICU. When trying to improve care, real time process measurements are an excellent tool for overcoming barriers to change and enhancing the sustainability of efforts. To continually improve patient safety, healthcare organizations should continually measure their key clinical processes in real time.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.