Evidence map›Paper›PMID 23991509›Full record

ArticleJoint Commission journal on quality and patient safety2013

Bringing central line-associated bloodstream infection prevention home: CLABSI definitions and prevention policies in home health care agencies.

Michael L Rinke, David G Bundy, Aaron M Milstone, Kristin Deuber, Allen R Chen, Elizabeth Colantuoni, Marlene R Miller

Open access · greenAbstract read
In one paragraph

Article in Joint Commission journal on quality and patient safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 27 citations in OpenAlex.

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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

7 authors at 6 institutions in 1 country.

Michael L RinkeDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, USA. Michael.Rinke13@gmail.com
David G Bundy
Aaron M Milstone
Kristin Deuber
Allen R Chen
Elizabeth Colantuoni
Marlene R Miller
Johns Hopkins Medicine · USChildren's Hospital Association · USChildren's Hospital at Montefiore · USJohns Hopkins University · USMedical University of South Carolina · USTemple University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Institute for Clinical and Translational Research (KL2)KL2RR025006 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$12.9M
CLABSIs in Ambulatory Pediatric Oncology PatientsK08HS021282 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI RINKE, MICHAEL L · 2012 to 2014
$403k
AHRQ HHS K08 HS021282NCI NIH HHS P30 CA006973NCRR NIH HHS 5KL2RR025006NCRR NIH HHS KL2 RR025006
6 · The paper itself

Abstract

backgroundA study was conducted to investigate health care agency central line-associated bloodstream infection (CLABSI) definitions and prevention policies and pare them to the Joint Commission National Patient Safety Goal (NPSG.07.04.01), the Centers for Disease Control and Prevention (CDC) CLABSI prevention recommendations, and a best-practice central line care bundle for inpatients.

methodsA telephone-based survey was conducted in 2011 of a convenience sample of home health care agencies associated with children's hematology/oncology centers.

resultsOf the 97 eligible home health care agencies, 57 (59%) completed the survey. No agency reported using all five aspects of the National Healthcare and Safety Network/Association for Professionals in Infection Control and Epidemiology CLABSI definition and adjudication process, and of the 50 agencies that reported tracking CLABSI rates, 20 (40%) reported using none. Only 10 agencies (18%) had policies consistent with all elements of the inpatient-focused NPSG.07.04.01, 10 agencies (18%) were consistent with all elements of the home care targeted CDC CLABSI prevention recommendations, and no agencies were consistent with all elements of the central line care bundle. Only 14 agencies (25%) knew their overall CLABSI rate: mean 0.40 CLABSIs per 1,000 central line days (95% confidence interval [CI], 0.18 to 0.61). Six agencies (11%) knew their agency's pediatric CLABSI rate: mean 0.54 CLABSIs per 1,000 central line days (95% CI, 0.06 to 1.01).

conclusionsThe policies of a national sample of home health care agencies varied significantly from national inpatient and home health care agency targeted standards for CLABSI definitions and prevention. Future research should assess strategies for standardizing home health care practices consistent with evidence-based recommendations.

Indexed as

Catheterization, Central VenousBacteremiaCatheter-Related InfectionsChildGuideline AdherenceHealth Services ResearchHematologic NeoplasmsHome Care AgenciesHumansNeoplasmsPatient SafetyQuality ImprovementRisk FactorsUnited States

Identifiers

PMID23991509
PMCPMC4507507
OpenAlexW117178856

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Registered trials

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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.