Evidence map›Paper›PMID 32426646›Full record

ArticlePediatric quality & safety

Key Drivers in Reducing Hospital-acquired Pressure Injury at a Quaternary Children's Hospital.

Andrea K Johnson, Jenna F Kruger, Sarah Ferrari, Melissa B Weisse, Marie Hamilton, Ling Loh, Amy M Chapman, Kristine Taylor, Jessey Bargmann-Losche, Lane F Donnelly

Abstract read
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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

10 authors.

Andrea K JohnsonCenter for Professional Excellence and Inquiry, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Jenna F KrugerCenter for Pediatric and Maternal Value, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.; and.
Sarah FerrariCenter for Professional Excellence and Inquiry, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Melissa B WeisseCenter for Professional Excellence and Inquiry, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Marie HamiltonCenter for Professional Excellence and Inquiry, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Ling LohCenter for Pediatric and Maternal Value, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.; and.
Amy M ChapmanPatient Care Services, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Kristine TaylorCenter for Professional Excellence and Inquiry, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.
Jessey Bargmann-LoscheCenter for Pediatric and Maternal Value, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.; and.
Lane F DonnellyCenter for Pediatric and Maternal Value, Lucile Packard Children's Hospital Stanford, Palo Alto, Calif.; and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite being a participating Solutions for Patient Safety (SPS) children's hospital and having attempted implementation of the SPS hospital-acquired pressure injuries (HAPIs) prevention bundle, our hospital remained at a HAPI rate that was 3 times the mean for SPS participating children's hospitals. This performance led to the launch of an enterprise-wide HAPI reduction initiative in our organization. The purpose of this article is to describe the improvement initiative, the key drivers, and the resulting decrease in the SPS-reportable HAPI rate.

methodsWe designed a hospital-wide HAPI reduction initiative with actions grouped into 3 key driver areas: standardization, data transparency, and accountability. We paused all individual hospital unit-based HAPI reduction initiatives. We calculated the rate of SPS-reportable HAPIs per 1,000 patient days during both the pre- and postimplementation phases and compared mean rates using a 2-sided

resultsThe mean SPS-reportable HAPI rate for the preimplementation phase was 0.3489, and the postimplementation phase was 0.0609. The difference in rates was statistically significant (

conclusionsHaving an institutional pause and retooled initiative to reduce HAPI with key drivers in the areas of standardization, data transparency, and accountability had a statistically significant reduction in our organization's SPS-reportable HAPI rate.

Identifiers

PMID32426646
PMCPMC7190242

What OpenQuestion holds

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Registered trials

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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.