Evidence map›Paper›PMID 30229159›Full record

ArticlePediatric quality & safety

A Quality Improvement Intervention Reduces the Time to Administration of Stat Medications.

Gigimol Stephen, Dane Moran, Joan Broderick, Hanan A Shaikh, Megan M Tschudy, Cheryl Connors, Tammy Williams, Julius C Pham

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Observational
  2. Article
  3. A Coordinated and Multidisciplinary Strategy can Reduce the Time for Antibiotics in Septic Patients at a University Hospital.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  4. 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

8 authors.

Gigimol StephenJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Dane MoranJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Joan BroderickJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Hanan A ShaikhJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Megan M TschudyJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Cheryl ConnorsJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Tammy WilliamsJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.
Julius C PhamJohns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, Md.; Johns Hopkins University School of Medicine, Baltimore, Md.; and University of Hawaii School of Medicine, Honolulu, Hawaii.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe delivery of urgent ("stat") medications to hospitalized children is important for safe quality care. The goal of this study was to evaluate the effect of a set of interventions on the percentage of stat medications administered within 30 minutes of ordering.

methodsA pre-post study in 2 pediatric units (36 beds) in a private hospital in Saudi Arabia between January 2015 and September 2016. Interventions included structured communication requirements, introduction of a dedicated electronic inbox for stat medication orders sent by nurses to the pharmacy, and the use of a pink envelope for the delivery of stat medications. A multivariate logistic regression model was used to model percentage of medications administered within goal.

resultsThree hundred four stat orders met inclusion criteria. The proportion of orders meeting the 30-minute goal increased from a mean of 20% to a mean of 49% after the interventions (

conclusionsA set of interventions significantly increased the percentage of stat medications delivered within 30 minutes.

Identifiers

PMID30229159
PMCPMC6132455

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.