Evidence map›Paper›PMID 31161769›Full record

ArticleAmerican journal of medical quality : the official journal of the American College of Medical Quality

It's Complicated: Patient and Informal Caregiver Performance of Outpatient Parenteral Antimicrobial Therapy-Related Tasks.

Sara C Keller, Sara E Cosgrove, Alicia I Arbaje, Rachel H Chang, Amanda Krosche, Deborah Williams, Ayse P Gurses

Abstract read
In one paragraph

Article in American journal of medical quality : the official journal of the American College of Medical Quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  14. 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
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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.

Sara C KellerJohns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0001-9660-4367
Sara E CosgroveJohns Hopkins University School of Medicine, Baltimore, MD.
Alicia I ArbajeJohns Hopkins University School of Medicine, Baltimore, MD.
Rachel H ChangJohns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Amanda KroscheJohns Hopkins University School of Medicine, Baltimore, MD.
Deborah WilliamsJohns Hopkins Home Care Group, Baltimore, MD.
Ayse P GursesJohns Hopkins University School of Medicine, Baltimore, MD.

Funding

Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
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 HS025782NCATS NIH HHS KL2 TR001077
6 · The paper itself

Abstract

Outpatient parenteral antimicrobial therapy (OPAT) requires patients and caregivers to infuse antimicrobials through venous catheters (VCs) in the home. The objective of this study was to perform a patient-centered goal-directed task analysis to identify what is required for successful completion of OPAT. The authors performed 40 semi-structured patient interviews and 20 observations of patients and caregivers performing OPAT-related tasks. Six overall goals were identified: (1) understanding and developing skills in OPAT, (2) receiving supplies, (3) medication administration and VC maintenance, (4) preventing VC harm while performing activities of daily living, (5) managing when hazards lead to failures, and (6) monitoring status. The authors suggest that patients and caregivers use teach-back, take formal OPAT classes, receive visual and verbal instructions, use cognitive aids, learn how to troubleshoot, and receive clear instructions to address areas of uncertainty. Addressing these goals is essential to ensuring the safety of and positive experiences for our patients.

Indexed as

CaregiversClinical CompetenceInfusions, ParenteralOutpatientsTask Performance and AnalysisAgedAnti-Infective AgentsFemaleHome Care ServicesHumansInterviews as TopicMaleMiddle AgedObservationQualitative ResearchAnti-Infective Agentshome carehome infusion therapyhuman factors engineeringoutpatient parenteral antimicrobial therapytask analysis

Identifiers

PMID31161769
PMCPMC6917971

What OpenQuestion holds

Textmetadata
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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.