Evidence map›Paper›PMID 30471975›Full record

ArticleAmerican journal of infection control2019

Hazards from physical attributes of the home environment among patients on outpatient parenteral antimicrobial therapy.

Sara C Keller, Sara E Cosgrove, Michael Kohut, Amanda Krosche, Huai-En Chang, Deborah Williams, Ayse P Gurses

Open access · greenAbstract read
In one paragraph

Article in American journal of infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Defining the Optimal Duration of Therapy for Hospitalized Patients With Complicated Urinary Tract Infections and Associated Bacteremia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Human factors/ergonomics work system analysis of patient work: state of the science and future directions.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Preparation of Patients for Central Venous Catheter Care in the Home: Perspectives From Health Care Personnel.American journal of medical quality : the official journal of the American College of Medical Quality
    Article
  17. It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks.American journal of medical quality : the official journal of the American College of Medical Quality
    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 at 2 institutions in 1 country.

Sara C KellerDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: skeller9@jhmi.edu.
Sara E CosgroveDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Michael KohutArmstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD.
Amanda KroscheWeill Cornell Medical College, New York, NY.
Huai-En ChangJohns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Deborah WilliamsDepartment of Quality Management, Johns Hopkins Home Care Group, Baltimore, MD.
Ayse P GursesArmstrong Institute of Patient Safety and Quality, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USCornell University · US

Funding

Patient and Caregiver Provision of Outpatient Parenteral Antimicrobial Therapy (OPAT): A Patient-Centered Quality Improvement InitiativeK08HS025782 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI KELLER, SARA CONDRON · 2018 to 2020
$457k
AHRQ HHS K08 HS025782
6 · The paper itself

Abstract

backgroundOutpatient parenteral antimicrobial therapy (OPAT) requires that patients and their caregivers administer antimicrobial medications in the home via venous catheters. Hazards from physical attributes of the home environment may impede safe performance of OPAT tasks.

methodsWe performed a qualitative study, including semistructured telephone interviews and contextual inquiries, of patients performing OPAT tasks inside the home. Eligible participants were discharged from 2 academic medical centers in Baltimore, Maryland, on OPAT. We coded interview transcripts and contextual inquiry forms based on a model of healthcare work systems.

resultsTwenty-nine patients underwent semistructured telephone interviews, and 14 patients underwent contextual inquiry. We identified hazards including bathing, animal or pets, extremes in temperature, household clutter, indoor soil and food exposures, outdoor soil, and travel. Patients often developed strategies to mitigate these hazards. DISCUSSION: Multiple hazards related to the home environment could have led to harm, and in the absence of specific guidance, patients developed strategies to mitigate these hazards.

conclusionsEducational interventions to improve OPAT should incorporate an understanding of hazards that may occur in the home environment.

Indexed as

Environmental ExposureHome Care Services, Hospital-BasedHome Infusion TherapyAdolescentAdultAgedAged, 80 and overAmbulatory CareAnti-Infective AgentsBaltimoreFemaleHumansInterviews as TopicMaleMiddle AgedOutpatientsAnti-Infective AgentsHome infusion therapyHuman factors engineeringInfection preventionOPATQualitative research

Identifiers

PMID30471975
PMCPMC6893846
OpenAlexW2900568883

What OpenQuestion holds

Textmetadata
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.