Evidence map›Paper›PMID 33173561›Full record

ArticleKansas journal of medicine2020

The Effect of a Clinical Pathway on Reducing the Rate of Healthcare-Onset

John W Millard, Yasmine Hussein Agha, Sachin Srinivasan, Maha Assi

Open access · diamondAbstract read
In one paragraph

Article in Kansas journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 90% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

4 authors at 3 institutions in 1 country.

John W MillardRobert J. Dole VA Medical Center, Wichita, KS.
Yasmine Hussein AghaUniversity of Kansas School of Medicine-Wichita, Department of Internal Medicine, Wichita, KS.
Sachin SrinivasanUniversity of Kansas School of Medicine-Wichita, Department of Internal Medicine, Wichita, KS.
Maha AssiRobert J. Dole VA Medical Center, Wichita, KS.
Wichita State University · USUniversity of Kansas · USWichita Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStool assays used to diagnose

methodsA single-center retrospective observational study was conducted that spanned 12 months. All patients who developed diarrhea 48 hours after being admitted and whose primary physician requested a CD stool assay were included in the study. The intervention consisted of a mandatory sequence of questions that allowed providers to order a CD stool assay only if clinically indicated.

resultsDifferences in HO-CDI rates pre- and post-intervention were analyzed. The HO-CDI rate during the pre-intervention and post-intervention periods were 24.1 and 0.0, respectively (p = 0.023).

conclusionA marked reduction of the rate of HO-CDI occurred after implementing a mandatory clinical pathway. Setting up a mandatory pre-testing questionnaire could decrease the misclassification of asymptomatic carriers as HO-CDI and the unnecessary prescription of antibiotics in situations where it is not indicated.

Indexed as

Clostridium difficile infectionhealthcare associated infectionsnosocomial infection

Identifiers

PMID33173561
PMCPMC7651785
OpenAlexW3094258047

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.