Evidence map›Paper›PMID 27917728›Full record

ArticleInfection control and hospital epidemiology2017

Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing Homes and Non-Veterans Affairs Nursing Homes.

Lona Mody, M Todd Greene, Sanjay Saint, Jennifer Meddings, Barbara W Trautner, Heidi L Wald, Christopher Crnich, Jane Banaszak-Holl, Sara E McNamara, Beth J King and 3 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Infection control and hospital epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Does cranberry have a role in catheter-associated urinary tract infections?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2017
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Lona Mody1Geriatric Research Education and Clinical Center Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
M Todd Greene2Center for Clinical Management Research Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
Sanjay Saint2Center for Clinical Management Research Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
Jennifer Meddings3Medicine Service,Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
Barbara W Trautner9The Center for Innovations in Quality,Effectiveness, and Safety (IQuESt),Michael E. DeBakey Veterans Affairs Medical Center,Houston,Texas.
Heidi L Wald11Department of Medicine,University of Colorado School of Medicine,Aurora,Colorado.
Christopher Crnich12School of Medicine and Public Health,University of Wisconsin,Madison,Wisconsin.
Jane Banaszak-Holl8Institute of Gerontology,University of Michigan Medical School,Ann Arbor,Michigan.
Sara E McNamara5Division of Geriatric and Palliative Care Medicine,University of Michigan Medical School,Ann Arbor,Michigan.
Beth J King4Veterans Affairs National Center for Patient Safety,Department of Veterans Affairs,Ann Arbor,Michigan.
Robert Hogikyan1Geriatric Research Education and Clinical Center Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
Barbara S Edson15Health Research and Educational Trust,American Hospital Association, Chicago,Illinois.
Sarah L Krein2Center for Clinical Management Research Ann Arbor Veterans Affairs Healthcare System,Ann Arbor,Michigan.
VA Center for Clinical Management Research · USGeriatric Research Education and Clinical Center · USUniversity of Michigan–Ann Arbor · USCenter for Innovation · USHealth Research and Educational Trust · USNational Patient Safety Foundation · USUniversity of Colorado Denver · USUniversity of Wisconsin–Madison · USVA Ann Arbor Healthcare System · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Enhancing Patient Safety through Cognition & Communication: The "M-Safety Lab"P30HS024385 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SAINT, SANJAY K · 2015 to 2015
$4.0M
Models of hospital-acquired conditions and readmission: defining at-risk patientsR01HS018334 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MCMAHON, LAURENCE F · 2010 to 2019
$3.7M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
Targeting Hospital-Acquired Complications: Impact on the Care of Complex PatientsK08HS019767 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEDDINGS, JENNIFER ANN · 2010 to 2014
$758k
Bacterial Interference to Prevent Catheter-Associated Urinary Tract InfectionR21DK092293 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI TRAUTNER, BARBARA WELLS · 2012 to 2013
$422k
AHRQ HHS K08 HS019767AHRQ HHS P30 HS024385AHRQ HHS R01 HS018334HSRD VA RCS 11-222NIA NIH HHS K24 AG050685NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG041780NIDDK NIH HHS R21 DK092293
6 · The paper itself

Abstract

OBJECTIVE The impact of healthcare system integration on infection prevention programs is unknown. Using catheter-associated urinary tract infection (CAUTI) prevention as an example, we hypothesize that US Department of Veterans Affairs (VA) nursing homes have a more robust infection prevention infrastructure due to integration and centralization compared with non-VA nursing homes. SETTING VA and non-VA nursing homes participating in the AHRQ Safety Program for Long-Term Care collaborative. METHODS Nursing homes provided baseline information about their infection prevention programs to assess strengths and gaps related to CAUTI prevention via a needs assessment questionnaire. RESULTS A total of 353 of 494 nursing homes from 41 states (71%; 47 VA and 306 non-VA facilities) responded. VA nursing homes reported more hours per week devoted to infection prevention-related activities (31 vs 12 hours; P<.001) and were more likely to have committees that reviewed healthcare-associated infections. Compared with non-VA facilities, a higher percentage of VA nursing homes reported tracking CAUTI rates (94% vs 66%; P<.001), sharing CAUTI data with leadership (94% vs 70%; P=.014) and with nursing personnel (85% vs 56%, P=.003). However, fewer VA nursing homes reported having policies for appropriate catheter use (64% vs 81%; P=.004) and catheter insertion (83% vs 94%; P=.004). CONCLUSIONS Among nursing homes participating in an AHRQ-funded collaborative, VA and non-VA nursing homes differed in their approach to CAUTI prevention. Best practices from both settings should be applied universally to create an optimal infection prevention program within emerging integrated healthcare systems. Infect Control Hosp Epidemiol 2017;38:287-293.

Indexed as

Catheter-Related InfectionsCross InfectionHumansInfection ControlLeadershipLogistic ModelsMultivariate AnalysisNursing HomesNursing StaffPractice Guidelines as TopicPractice Management, MedicalSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsUrinary Tract Infections

Identifiers

PMID27917728
PMCPMC5835313
OpenAlexW2559857775

What OpenQuestion holds

Textmetadata
LicenceTDM
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.