Evidence map›Paper›PMID 30230151›Full record

ArticleInternal medicine journal2019

Outcomes of an initiative to improve inpatient safety of small bore thoracostomy tube insertion.

Conceição Santos, Saurabh Gupta, Melissa Baraket, Peter J Collett, Wei Xuan, Jonathan P Williamson

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. A novel case of tracheal deviation secondary to percutaneous tracheostomy.General thoracic and cardiovascular surgery cases · 2023
    Article
  4. Article
  5. Article
  6. 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

6 authors at 4 institutions in 1 country.

Conceição SantosDepartment of Respiratory and Sleep Medicine, Campbelltown Hospital, Sydney, New South Wales, Australia.ORCID 0000-0001-6054-4606
Saurabh GuptaDepartment of General and Acute Care Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
Melissa BaraketDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
Peter J CollettDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
Wei XuanSouth West Clinical School, University of New South Wales, Sydney, New South Wales, Australia.
Jonathan P WilliamsonDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, Sydney, New South Wales, Australia.
New South Wales Department of Health · AUCamden and Campbelltown Hospitals · AULiverpool Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntercostal chest catheter (ICC) insertion is a common hospital procedure with attendant risks including life-threatening complications such as pneumothorax and visceral damage.

aimTo investigate the effect of a quality improvement (QI) initiative on complications associated with inpatient thoracostomy tube insertion.

methodsFollowing an audit of ICC complications in inpatients over a 2-year period we implemented a comprehensive QI programme. This involved formal training in and mandatory use of thoracic ultrasound, standardisation of the procedure and documentation, a dedicated procedure room with nurses trained in assisting ICC insertion and senior supervision for medical staff. An audit over 2 years post-implementation of the QI protocol was compared with pre-implementation results.

resultsA total of 103 cases were reviewed pre-implementation and 105 cases were reviewed post-implementation of the QI programme. All procedures following the QI initiative were image guided compared to 23.3% of cases pre-implementation. The rate of developing a pneumothorax requiring intervention post-implementation was less than pre-implementation (1.9% vs 5.8% (P = 0.023). Post-implementation, there were no instances of dry taps, viscera perforation, clinically significant bleeding or wrong side ICC insertion and documentation improved.

conclusionQI initiative applied to thoracostomy tube insertion in hospital inpatients can reduce complications and improve procedure documentation.

Indexed as

HospitalizationAdultAgedAged, 80 and overChest TubesClinical AuditFemaleHumansMaleMiddle AgedNew South WalesPatient SafetyPneumothoraxProspective StudiesQuality ImprovementRetrospective Studiescomplicationintercostal thoracostomy tubepneumothoraxquality improvementthoracic ultrasound

Identifiers

PMID30230151
PMCPMC6851751
OpenAlexW2890731217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.