Evidence map›Paper›PMID 22143455›Full record

ArticleJournal of general internal medicine2012

Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.

Sarah L Krein, Christine P Kowalski, Timothy P Hofer, Sanjay Saint

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of general internal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  13. Article
  14. Psychometric Evaluation of an Instrument for Measuring Organizational Climate for Quality: Evidence From a National Sample of Infection Preventionists.American journal of medical quality : the official journal of the American College of Medical Quality · 2016
    Article
  15. [Urinary tract infections in the elderly].Zeitschrift fur Gerontologie und Geriatrie · 2015
    Review
  16. Article
  17. Center-level variation in infection rates after coronary artery bypass grafting.Circulation. Cardiovascular quality and outcomes · 2014
    Article
  18. Article
  19. Review
  20. HAC-POA policy effects on hospitals, other payers, and patients.Medicare & medicaid research review · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Sarah L KreinVA Ann Arbor Healthcare System, VA Ann Arbor Center for Clinical Management Research and the Hospital Outcomes Program of Excellence, Ann Arbor, MI, USA. skrein@umich.edu
Christine P Kowalski
Timothy P Hofer
Sanjay Saint
National Patient Safety Foundation · USVA Ann Arbor Healthcare System · USVA Center for Clinical Management Research · US

Funding

Implementing Evidence to Prevent Urinary Infection and Enhance Patient SafetyR01NR010700 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KREIN, SARAH, SAINT, SANJAY K · 2008 to 2011
$1.7M
NINR NIH HHS R01 NR010700NINR NIH HHS R01-NR010700
6 · The paper itself

Abstract

backgroundHospital-acquired infection (HAI) is common, costly, and potentially lethal. Whether initiatives to reduce HAI--such as the Centers for Medicare and Medicaid Services (CMS) no payment rule--have increased the use of preventive practices is not known.

objectiveTo examine the use of infection prevention practices by U.S. hospitals and trends in use between 2005 and 2009. DESIGN, SETTING, AND

participantsSurveys of infection preventionists at non-federal general medical/surgical hospitals and Department of Veterans Affairs (VA) hospitals, which are not subject to the CMS no payment rule, in 2005 and 2009. MAIN MEASURES: Percent of hospitals using practices to prevent central line-associated bloodstream infection (CLABSI), ventilator-associated pneumonia (VAP), and catheter-associated urinary tract infection (CAUTI). KEY

resultsSurvey response was approximately 70%. More than 1/2 of non-federal hospitals reported a moderate or large increase in CLABSI, VAP and CAUTI prevention as a facility priority due to the non-payment rule; over 60% of VA hospitals reported no change in priority. However, both non-federal and VA hospitals reported significant increases in use of most practices to prevent CLABSI, VAP and CAUTI from 2005 to 2009, with 90% or more using certain practices to prevent CLABSI and VAP in 2009. In contrast, only one CAUTI prevention practice was used by at least 50% of hospitals.

conclusionsSince 2005, use of key practices to prevent CLABSI, VAP and CAUTI has increased in non-federal and VA hospitals, suggesting that despite its perceived importance, the non-payment rule may not be the primary driver. Moreover, while 65% of non-federal hospitals reported a moderate or large increase in preventing CAUTI as a facility priority, prevention practice use remains low.

Indexed as

Catheterization, Central VenousCatheter-Related InfectionsCross InfectionHealth Care SurveysHumansInfection ControlLongitudinal StudiesPneumonia, Ventilator-AssociatedProfessional PracticeUnited StatesUrinary Tract Infections

Identifiers

PMID22143455
PMCPMC3378739
OpenAlexW2089122039

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.