ArticleBMJ quality & safety2018
Implementing infection prevention practices across European hospitals: an in-depth qualitative assessment.
Article in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Eight Priorities for Improving Primary Care Access Management in Healthcare Organizations: Results of a Modified Delphi Stakeholder Panel.Journal of general internal medicine · 2020Pooled it
- Implementation of infection prevention and control in acute care hospitals in Mainland China - a systematic review.Antimicrobial resistance and infection control · 2019Pooled it
- Determinants of sustainable quality improvement for operating room clean air systems: a two-phase sequential qualitative study in Dutch hospitals.BMC health services research · 2026Article
- Effects of Expanding Infection Control Team Functions on Device-Associated HAIs: A Leadership-Oriented Intervention Study (2017-2024).Journal of clinical medicine · 2026Article
- Device-Specific Factors Associated With Device-Related Infection Prevention and Control Practices in Long-Term Care Hospitals: A Multicenter Multilevel Study.Journal of nursing management · 2026Article
- Characteristics of Quality Improvement Projects in Health Services: A Systematic Scoping Review.Journal of evidence-based medicine · 2025Article
- Excellence in Antibiotic Stewardship: A Mixed-Methods Study Comparing High-, Medium-, and Low-Performing Hospitals.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Article
- Evaluation of a multifaceted implementation strategy for semi-automated surveillance of surgical site infections after total hip or knee arthroplasty: a multicentre pilot study in the Netherlands.Antimicrobial resistance and infection control · 2024Article
- Strengthening the role of hospital leadership in infection control (LEAD-IC) - a multimodal educational intervention in German acute care hospitals.BMC medical education · 2023Article
- Implementing strategies to prevent infections in acute-care settings.Infection control and hospital epidemiology · 2023Article
- Scaling up an intervention to protect preterm infants from neurodevelopmental disabilities - findings from a qualitative process evaluation comparing standard with enhanced quality improvement support packages for maternity units in England.Implementation science : IS · 2023Article
- Evaluation of an infection control link nurse program: an analysis using the RE-AIM framework.BMC health services research · 2023Article
- Hand hygiene improvement of individual healthcare workers: results of the multicentre PROHIBIT study.Antimicrobial resistance and infection control · 2022Article
- Are there reasons behind high Handrub consumption? A French National in-depth qualitative assessment.Antimicrobial resistance and infection control · 2022Article
- Implementation of a central-line bundle: a qualitative study of three clinical units.Implementation science communications · 2021Article
- Healthcare-associated infections and antimicrobial use in surgical wards of a large urban central hospital in Blantyre, Malawi: a point prevalence survey.Infection prevention in practice · 2021Article
- Strategies for facilitating the delivery of cluster randomized trials in hospitals: A study informed by the CFIR-ERIC matching tool.Clinical trials (London, England) · 2021Article
- Implementing daily chlorhexidine gluconate (CHG) bathing in VA settings: The human factors engineering to prevent resistant organisms (HERO) project.American journal of infection control · 2021Article
- The role of professional elites in healthcare governance: Exploring the work of the medical director.Social science & medicine (1982) · 2021Article
- Why do Irish pig farmers use medications? Barriers for effective reduction of antimicrobials in Irish pig production.Irish veterinary journal · 2021Article
Corrections and comments
- Commented on by
Authors and funding
15 authors.
Funding
Abstract
objectiveThe Prevention of Hospital Infections by Intervention and Training (PROHIBIT) project included a cluster-randomised, stepped wedge, controlled study to evaluate multiple strategies to prevent catheter-related bloodstream infection. We report an in-depth investigation of the main barriers, facilitators and contextual factors relevant to successfully implementing these strategies in European acute care hospitals.
methodsQualitative comparative case study in 6 of the 14 European PROHIBIT hospitals. Data were collected through interviews with key stakeholders and ethnographic observations conducted during 2-day site visits, before and 1 year into the PROHIBIT intervention. Qualitative measures of implementation success included intervention fidelity, adaptation to local context and satisfaction with the intervention programme.
resultsThree meta-themes emerged related to implementation success: 'implementation agendas', 'resources' and 'boundary-spanning'. Hospitals established unique implementation agendas that, while not always aligned with the project goals, shaped subsequent actions. Successful implementation required having sufficient human and material resources and dedicated change agents who helped make the intervention an institutional priority. The salary provided for a dedicated study nurse was a key facilitator. Personal commitment of influential individuals and boundary spanners helped overcome resource restrictions and intrainstitutional segregation.
conclusionThis qualitative study revealed patterns across cases that were associated with successful implementation. Consideration of the intervention-context relation was indispensable to understanding the observed outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.