Evidence map›Paper›PMID 24360354›Full record

ArticleAmerican journal of infection control2014

Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.

Kerri A Thom, Shanshan Li, Melissa Custer, Michael Anne Preas, Cindy D Rew, Christina Cafeo, Surbhi Leekha, Brian S Caffo, Thomas M Scalea, Matthew E Lissauer

Abstract read
In one paragraph

Article in American journal of infection control, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

10 authors.

Kerri A ThomUniversity of Maryland School of Medicine, Baltimore, MD. Electronic address: kthom@epi.umaryland.edu.
Shanshan LiJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD.
Melissa CusterUniversity of Maryland Medical Center, Baltimore, MD.
Michael Anne PreasUniversity of Maryland Medical Center, Baltimore, MD.
Cindy D RewUniversity of Maryland Medical Center, Baltimore, MD.
Christina CafeoUniversity of Maryland Medical Center, Baltimore, MD.
Surbhi LeekhaUniversity of Maryland School of Medicine, Baltimore, MD.
Brian S CaffoJohns Hopkins University Bloomberg School of Public Health, Baltimore, MD.
Thomas M ScaleaUniversity of Maryland School of Medicine, Program in Trauma, Baltimore, MD.
Matthew E LissauerUniversity of Maryland School of Medicine, Program in Trauma, Baltimore, MD.

Funding

Epidemiology of Acinetobacter baumannii: An Emerging Nosocomial PathogenK23AI082450 · NIAID · UNIVERSITY OF MARYLAND BALTIMORE · PI THOM, KERRI · 2010 to 2014
$674k
TRANSDUCTIONAL RECOMBINATION IN S TYPHIMURIUMF32AI008250 · NIAID · UNIVERSITY OF UTAH · PI BENSON, NICHOLAS R · 1990 to 1992
–
NIAID NIH HHS 1K23-AI08250-01A1NIAID NIH HHS K23 AI082450
6 · The paper itself

Abstract

backgroundCentral line (CL)-associated bloodstream infections (CLABSI) are an important cause of patient morbidity and mortality. Novel strategies to prevent CLABSI are needed.

methodsWe described a quasiexperimental study to examine the effect of the presence of a unit-based quality nurse (UQN) dedicated to perform patient safety and infection control activities with a focus on CLABSI prevention in a surgical intensive care unit (SICU).

resultsFrom July 2008 to March 2012, there were 3,257 SICU admissions; CL utilization ratio was 0.74 (18,193 CL-days/24,576 patient-days). The UQN program began in July 2010; the nurse was present for 30% (193/518) of the days of the intervention period of July 2010 to March 2012. The average CLABSI rate was 5.0 per 1,000 CL-days before the intervention and 1.5 after the intervention and decreased by 5.1% (P = .005) for each additional 1% of days of the month that the UQN was present, even after adjusting for CLABSI rates in other adult intensive care units, time, severity of illness, and Comprehensive Unit-based Safety Program participation (5.1%, P = .004). Approximately 11.4 CLABSIs were prevented.

conclusionThe presence of a UQN dedicated to perform infection control activities may be an effective strategy for CLABSI reduction.

Indexed as

NursesAdultCatheterization, Central VenousCatheter-Related InfectionsHumansInfection ControlIntensive Care UnitsQuality ControlQuality of Health CareCLABSIPatient safety

Identifiers

PMID24360354
PMCPMC3946639

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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.