Evidence map›Paper›PMID 29644943›Full record

ArticleInfection control and hospital epidemiology2018

Reduced Clostridium difficile Tests and Laboratory-Identified Events With a Computerized Clinical Decision Support Tool and Financial Incentive.

Gregory R Madden, Ian German Mesner, Heather L Cox, Amy J Mathers, Jason A Lyman, Costi D Sifri, Kyle B Enfield

Abstract readComparative Study
In one paragraph

Article in Infection control and hospital epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Novel Biomarkers, IncludingInfection and immunity · 2023
    Article
  6. Association between prevalence of laboratory-identifiedInfection control and hospital epidemiology · 2022
    Article
  7. Article
  8. Improving Stewardship ofKansas journal of medicine · 2022
    Article
  9. Propensity-Matched Cost ofOpen forum infectious diseases · 2021
    Article
  10. Improving Appropriate Diagnosis ofOpen forum infectious diseases · 2020
    Article
  11. Observational
  12. Patient Outcomes With Prevented vs NegativeOpen forum infectious diseases · 2020
    Article
  13. The Role of Diagnostic Stewardship inCurrent infectious disease reports · 2020
    Article
  14. Atypical presentation ofBMJ case reports · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors.

Gregory R Madden1Division of Infectious Diseases and International Health,Department of Medicine,University of Virginia Health System,Charlottesville,Virginia.
Ian German Mesner2Health Information and Technology,University of Virginia Health System,Charlottesville,Virginia.
Heather L Cox1Division of Infectious Diseases and International Health,Department of Medicine,University of Virginia Health System,Charlottesville,Virginia.
Amy J Mathers1Division of Infectious Diseases and International Health,Department of Medicine,University of Virginia Health System,Charlottesville,Virginia.
Jason A Lyman5Department of Public Health Sciences,University of Virginia Health System,Charlottesville,Virginia.
Costi D Sifri1Division of Infectious Diseases and International Health,Department of Medicine,University of Virginia Health System,Charlottesville,Virginia.
Kyle B Enfield7Division of Pulmonary and Critical Care Medicine,Department of Medicine,University of Virginia Health System,Charlottesville,Virginia.

Funding

INFECTIOUS DISEASES TRAINING PROGRAMT32AI007046 · NIAID · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Alison K Criss, William A Petri · 1985 to 2026
$15.3M
NIAID NIH HHS T32 AI007046
6 · The paper itself

Abstract

We hypothesized that a computerized clinical decision support tool for Clostridium difficile testing would reduce unnecessary inpatient tests, resulting in fewer laboratory-identified events. Census-adjusted interrupted time-series analyses demonstrated significant reductions of 41% fewer tests and 31% fewer hospital-onset C. difficile infection laboratory-identified events following this intervention.Infect Control Hosp Epidemiol 2018;39:737-740.

Indexed as

Decision Support Systems, ClinicalClostridioides difficileClostridium InfectionsCross InfectionEducation, Medical, GraduateFecesHumansPhysician Incentive PlansQuality ImprovementTertiary Care Centers

Identifiers

PMID29644943
PMCPMC6088779

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.