Evidence map›Paper›PMID 27367216›Full record

ArticleQuality management in health care

Testing the Quality Health Outcomes Model Applied to Infection Prevention in Hospitals.

Heather M Gilmartin, Karen H Sousa

Abstract read
In one paragraph

Article in Quality management in health care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

The trial behind it

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Heather M GilmartinDenver/Seattle Center of Innovation, Department of Veterans Affairs, Eastern Colorado Healthcare System, Denver (Dr Gilmartin); and College of Nursing, University of Colorado, Aurora (Dr Sousa).
Karen H Sousa

Funding

Prevention of Nosocomial Infections and Cost-Effectiveness Refined (P-NICER)R01NR010107 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI STONE, PATRICIA W. · 2007 to 2012
$3.2M
NINR NIH HHS R01 NR010107
6 · The paper itself

Abstract

objectiveTo test the Quality Health Outcomes Model to investigate the relationship between health care-associated infection (HAI) prevention interventions, organizational context, and HAI outcomes using structural equation modeling.

methodsVariables for adherence to the central line bundle, organizational context, and central line-associated bloodstream infections (CLABSIs) were selected for this secondary data analysis from 614 US hospitals that participated in the Prevention of Nosocomial Infection and Cost-effectiveness-Refined study. One half of the dataset was used for exploration of the concepts, the second half for confirmation of the measurement models and testing of the structural model.

resultsThe final model resulted in a good fit to the data (χ (1215) = 1906.86, P < .00; comparative fit index = 0.94; root mean square of error of approximation = 0.04). A significant relationship was noted between adherence to the central line bundle interventions and organizational context (β = 0.23, P < .01), whereas the relationship between context and CLABSIs was not significant (β = -0.20, P = .78).

conclusionsThis study supports a relationship between greater adherence to HAI interventions and higher levels of organizational context and highlights the complexity of measuring organizational context. Given the importance of preventing HAIs, ongoing research is needed to reveal the exact aspects of context that influence interventions and outcomes.

Indexed as

Attitude of Health PersonnelCatheter-Related InfectionsCost-Benefit AnalysisCross InfectionGuideline AdherenceHospital Bed CapacityHumansInfection ControlLeadershipModels, TheoreticalOrganizational CultureOutcome and Process Assessment, Health CarePatient Care BundlesPractice Guidelines as TopicQuality of Health CareResidence Characteristics

Identifiers

PMID27367216
PMCPMC4933515

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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.